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Reproductive and Developmental Toxicology
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Reproductive and
Developmental Toxicology
Third Edition
Edited by
vii
viii Contents
44. Personal care products and 52. Embryonic and fetal toxic lesions
cosmetics 867 and stem cell therapy 1071
Changqing Zhou, Catheryne Chiang, Emily V.B. Popov, G.A. Protasova,
Brehm, Genoa R. Warner and Jodi A. Flaws L.V. Shabasheva and N.S. Khlebnikova
Ramesh C. Gupta, Robin B. Doss, Rajiv Lall, 57. Effects of stress on reproductive
Ajay Srivastava and Anita Sinha function and fetal
development 1141
Section X
Kavita Gulati, Suresh Kumar Thokchom,
Special topics Nishant Rai and Arunabha Ray
Index 1487
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Contributors
Manoj Aggarwal, Haskell R&D Center, Corteva Agris- Emily Brehm, University of Illinois at Urbana-Champaign,
cience, Newark, DE, United States Department of Comparative Biosciences, Urbana, IL,
James Akingbasote, KGK Science Inc., London, ON, United States
Canada Richard M. Breyer, Department of Medicine, Vanderbilt
Arturo Anadón, Department of Pharmacology and Tox- University, Nashville, TN, United States
icology, Faculty of Veterinary Medicine, Universidad Susan Bright-Ponte, Office of Surveillance and Com-
Complutense de Madrid, Madrid, Spain pliance, US Food and Drug Administration Center for
Gregory J. Anger, Janssen Inc., Toronto, ON, Canada Veterinary Medicine, Rockville, MD, United States
Anthony E. Archibong, Department of Microbiology, Mirjana Milosevic Brockett, School of Biological Sci-
Immunology and Physiology, Meharry Medical Col- ences, Georgia Institute of Technology, Atlanta, GA,
lege, Nashville, TN, United States United States
Irma Ares, Department of Pharmacology and Toxicology, Luisa Campagnolo, Department of Biomedicine and Pre-
Faculty of Veterinary Medicine, Universidad Complu- vention, University of Rome Tor Vergata, Rome, Italy
tense de Madrid, Madrid, Spain Edward W. Carneyy, College Park, MD, United States
Michael Aschner, Department of Molecular Pharmacol- Andrew Charrette, KGK Science Inc., London, ON,
ogy, Albert Einstein College of Medicine, Bronx, NY, Canada
United States Sandrine Fleur Chebekoue, Occupational and Environ-
Daiana S. Avila, Federal Pampa University, Uruguaiana, mental Health, School of Public Health, University of
Rio Grande do Sul, Brazil Montreal, Montreal, QC, Canada
Denise C. Bailey, Department of Biology, King University, Catheryne Chiang, University of Illinois at Urbana-
Bristol, TN, United States Champaign, Department of Comparative Biosciences,
Norman J. Barlow, Preclinical Sciences, Xencor Inc., Urbana, IL, United States
Monrovia, CA, United States Wei-Chun Chou, Department of Environmental and
Sudheer Beedanagari, Nonclinical Safety, Alexion Phar- Global Health, College of Public Health and Health
maceuticals, Inc, Boston, MA, United States Professions (PHHP), University of Florida, Gainesville,
FL, United States
P.P. Beltyukov, Scientific Research Institute of Hygiene,
Occupational Pathology and Human Ecology of the Jane K. Cleal, Faculty of Mediicne, University of South-
Federal Medical and Biological Agency of Russia, ampton, Southampton, United Kingdom
Leningrad Region, Vsevolozhsky District, Kuzmolov- Toby B. Cole, Department of Environmental and Occu-
sky Territory, Russia pational Health Sciences, University of Washington,
Karyn Bischoff, Animal Health Diagnostic Center & Seattle, WA, United States; Center on Human Devel-
Department of Population Medicine and Diagnostic opment and Disability, University of Washington,
Sciences, Cornell University, Ithaca, NY, United States Seattle, WA, United States
Carina Rodrigues Boeck, Programa de Pós-graduação em Daniel Cook, USDA Poisonous Plant Research Labo-
Nanociências; Mestrado em Ciências da Saúde e da ratory, Logan, UT, United States
Vida, Universidade Franciscana - UFN, Santa Maria,
RS, Brazil
William M. Bracken, Mundelein, IL, United States
y Deceased.
xiii
xiv Contributors
Robert W. Coppock, Toxicologist and Associate Ltd., Ayhan Filazi, Department of Pharmacology and Toxicol-
Vegreville, AB, Canada; Department of Preventative ogy, Faculty of Veterinary Medicine, Ankara Uni-
Medicine, Faculty of Medicine and Dentistry, Uni- versity, Ankara, Turkey
versity of Alberta, Edmonton, AB, Canada Vanessa A. Fitsanakis, Department of Pharmaceutical
Lucio G. Costa, Department of Environmental and Occu- Sciences, Northeast Ohio Medical University, Roots-
pational Health Sciences, University of Washington, town, OH, United States
Seattle, WA, United States; Department of Medicine and Rex FitzGerald, Swiss Centre for Applied Human
Surgery, University of Parma, Parma, Italy Toxicology, Department of Pharmaceutical Sciences,
Margarita Curras-Collazo, Department of Molecular, University of Basel, Basel, Switzerland
Cell, and Systems Biology, University of California at John Flaskos, School of Veterinary Medicine, Aristotle
Riverside, Riverside, CA, United States University of Thessaloniki, Thessaloniki, Greece
Wanying Dai, Leslie Dan Faculty of Pharmacy, University Jodi A. Flaws, University of Illinois at Urbana-Cham-
of Toronto, Toronto, ON, Canada paign, Department of Comparative Biosciences,
Khoi Dao, Department of Environmental and Occupational Urbana, IL, United States
Health Sciences, University of Washington, Seattle, S.J.S. Flora, Department of Pharmacology, Toxicology
WA, United States and Medicinal Chemistry, National Institute of
Rosane Souza Da Silva, Programa de Pós-Graduação em Pharmaceutical Education and Research, Raebareli,
Biologia Celular e Molecular e Programa de Pós- Lucknow, Uttar Pradesh, India
Graduação em Pediatria e Saúde da Criança, Pontifícia Vekataseshu K. Ganjam, Departments of Biomedical
Universidade Católica do Rio Grande do Sul - PUCRS, Science and Veterinary Medicine and Surgery, Uni-
Porto Alegre, RS, Brazil versity of Missouri, Columbia, MO, United States
T. Zane Davis, Poisonous Plant Research Laboratory, Dale R. Gardner, USDA Poisonous Plant Research
Agricultural Research Service, US Department of Laboratory, Logan, UT, United States
Agriculture, Logan, UT, United States
Ramesh C. Garg, Chicago, IL, United States
Francisco Dominguez, Instituto Universitario IVI (IUIVI)/
ISS LaFe Biomedical Research Institute, Avenida Fer- Jacqueline M. Garrick, Department of Environmental and
nando Abril Martorell, Valencia, Spain Occupational Health Sciences, University of Wash-
ington, Seattle, WA, United States
Robin B. Doss, Toxicology Department, Breathitt Veteri-
nary Center, Murray State University, Hopkinsville, Vincent F. Garry, Department of Laboratory Medicine
KY, United States and Pathology, University of Minnesota Medical
School, Minneapolis, MN, United States
Margitta M. Dziwenka, Faculty of Medicine and Den-
tistry, Health Sciences Laboratory Animal Services Janee Gelineau-van Waes, Department of Pharmacology
(HSLAS), ToxAlta Consulting, Vegreville, AB, Canada and Neuroscience, Creighton University School of
Medicine, Omaha, NE, United States
Brian Enright, Department of Preclinical Safety, AbbVie
Inc., North Chicago, IL, United States Keith M. Godfrey, Faculty of Mediicne, MRC Lifecourse
Epidemiology Centre, University of Southampton,
Carmen Estevan, Instituto de Bioingeniería, Universidad Southampton, United Kingdom
Miguel Hernández de Elche, Elche, Spain
Yu V. Golubentseva, Scientific Research Institute of
Timothy J. Evans, Department of Veterinary Pathobiol- Hygiene, Occupational Pathology and Human Ecology
ogy, Veterinary Medical Diagnostic Laboratory, of the Federal Medical and Biological Agency of
College of Veterinary Medicine, University of Mis- Russia, Leningrad Region, Vsevolozhsky District,
souri, Columbia, MO, United States Kuzmolovsky Territory, Russia
Anna M. Fan, Independent Researcher, Danville, CA, Roberto González-Martín, IVI Foundation-RMA Global,
United States Avenida Fernando Abril Martorell, Valencia, Spain
Marcelo Farina, Departamento de Bioquímica, Centro de Benedict T. Green, USDA Poisonous Plant Research
Ciências Biológicas, Universidade Federal de Santa Laboratory, Logan, UT, United States
Catarina, Florianópolis, Santa Catarina, Brazil
Consuelo Guerri, Department of Molecular and Cellular
Suzanne E. Fenton, Division of the National Toxicology Pathology of Alcohol, Príncipe Felipe Research Center,
Program, National Institute of Environmental Health Valencia, Spain
Sciences, Research Triangle Park, NC, United States
Contributors xv
Kavita Gulati, Department of Pharmacology, Vallabhbhai Anumantha Kanthasamy, Department of Biomedical Sci-
Patel Chest Institute, University of Delhi, New Delhi, ences, Iowa Center for Advanced Neurotoxicology, Iowa
India State University, Ames, IA, United States; Parkinson’s
P.K. Gupta, Division of Pharmacology & Toxicology, Disorder Research Laboratory, Iowa Center for
Indian Vety Research Institute, Bareilly, Uttar Pradesh, Advanced Neurotoxicology, Department of Biomedical
India Sciences, Iowa State University, Ames, IA, United States
Ramesh C. Gupta, Toxicology Department, Breathitt N.S. Khlebnikova, Laboratory of General Toxicology and
Veterinary Center, Murray State University, Hopkins- Hygienic Regulation of the Scientific Research Institute
ville, KY, United States of Hygiene, Occupational Pathology and Human
Ecology of the Federal Medical and Biological Agency,
Rekha K. Gupta, Johns Hopkins All Children’s Hospital, Kuzmolovsky Settlement, Vsevolozhsky District,
Saint Ptersburg, FL, United States Leningrad Region, Russian Federation
Najla Guthrie, KGK Science Inc., London, ON, Canada Nils Klüver, Department of Bioanalytical Ecotoxicology,
Jeffery O. Hall, Utah State Veterinary Diagnostic Labo- Helmholtz Centre for Environmental Research GmbH -
ratory, Utah State University, Logan, UT, United States UFZ, Leipzig, Germany
Alan J. Hargreaves, School of Science and Technology, Prasada Rao S. Kodavanti, Neurological and Endocrine
Nottingham Trent University, Nottingham, United Toxicology Branch, Public Health and Integrated
Kingdom Toxicology Division, Center for Public Health and
Kenneth J. Harris, Department of Biochemistry, Cancer Environmental Assessment, Office of Research and
Biology, Neuroscience and Pharmacology, Meharry Development, United States Environmental Protection
Medical College, Nashville, TN, United States Agency, Durham, NC, United States
Bridgett N. Hill, Biomolecular and Computational Tox- Kannan Krishnan, Risk Sciences International, Ottawa,
icology Division (B105-06), Center for Computational ON, Canada
Toxicology and Exposure, United States Environmental Shaila Kulkarni, Technical Development, Gene Therapy,
Protection Agency, Durham, NC, United States; Oak PTC Therapeutics, Inc., Pennington, NJ, United States
Ridge Institute for Science and Education, Oak Ridge, Ozgur Kuzukiran, Cankõrõ Karatekin University, Eldivan
TN, United States Health Services Vocational School, Cankiri, Turkey
Corey J. Hilmas, KGK Science Inc., London, ON, Canada Rajiv Lall, Vets Plus Inc., Menomonie, WI, United States
Alan M. Hoberman, Reproductive, Developmental and Jessica Legradi, Vrije Universiteit Amsterdam, Amster-
Juvenile Toxicology, Charles River Laboratories Inc., dam, Netherlands
Horsham, PA, United States
Rohan M. Lewis, Faculty of Mediicne, University of
Karin S. Hougaard, Department of Public Health, Southampton, Southampton, United Kingdom
University of Copenhagen, Copenhagen, Denmark;
National Research Centre for the Working Environ- Elise M. Lewis, Toxicology East Coast Region Repro-
ment, Copenhagen, Denmark ductive, Developmental and Juvenile Toxicology Scien-
tific Direction, Charles River, Horsham, PA, United States
Sinan Ince, Department of Pharmacology and Toxicology,
Faculty of Veterinary Medicine, Afyon Kocatepe Xin Li, Vanderbilt University Medical Center, Nashville,
University, Afyonkarahisar, Turkey TN, United States
Poorni R. Iyer, California Environmental Protection Pinpin Lin, National Institute of Environmental Health
Agency, Office of Environmental Health Hazard Sciences, National Health Research Institutes, Zhunan,
Assessment, Sacramento, CA, United States Taiwan
Nicklas R. Jacobsen, National Research Centre for the Bommanna G. Loganathan, Department of Chemistry
Working Environment, Copenhagen, Denmark and Watershed Studies Institute, Murray State
University, Murray, KY, United States
Starling Kalpana, National Research Centre on Meat,
Boduppal, Hyderabad, India Ivo F. Machado, CNC e Center for Neuroscience and Cell
Biology, University of Coimbra, Coimbra, Portugal;
Ramesh Kandimalla, Biochemistry, Kakatiya Medical IIIUC e Institute of Interdisciplinary Research,
College, Warangal, Telangana, India; CSIR-Indian Insti- University of Coimbra, Coimbra, Portugal
tute of Chemical Technology, Tarnaka, Hyderabad, India
Brinda Mahadevan, Brincor Associates LLC, New
Arthi Kanthasamy, Department of Biomedical Sciences, Albany, OH, United States
Iowa Center for Advanced Neurotoxicology, Iowa State
University, Ames, IA, United States
xvi Contributors
Susan L. Makris, United States Environmental Protection Portugal; Department of Life Sciences, University of
Agency, Office of Research and Development, Coimbra, Coimbra, Portugal
Washington, DC, United States David Pamies, Department of Biomedical Science,
Jitendra K. Malik, FJD-R, IVRI, Rajdhani Enclave, Department of Physiology, University of Lausanne,
Dehradun, Uttarakhand, India Lausanne, Switzerland
Ana Paula Marreilha dos Santos, Research Institute for Manesh Kumar Panner Selvam, Department of Urology,
Medicines, Faculty of Pharmacy, Universidade de Lis- Tulane University of Health Sciences Center, New
boa, Lisbon, Portugal Orleans, LA, United States
Judit Marsillach, Department of Environmental and María Pascual, Department of Molecular and Cellular
Occupational Health Sciences, University of Pathology of Alcohol, Príncipe Felipe Research Center,
Washington, Seattle, WA, United States Valencia, Spain; Department of Physiology, School of
María Rosa Martínez-Larrañaga, Department of Medicine and Dentistry, University of Valencia,
Pharmacology and Toxicology, Faculty of Veterinary Valencia, Spain
Medicine, Universidad Complutense de Madrid, Jayant Patwa, Department of Pharmacology, Toxicology
Madrid, Spain and Medicinal Chemistry, National Institute of Phar-
María Aránzazu Martínez, Department of Pharmacology maceutical Education and Research, Raebareli, Luck-
and Toxicology, Faculty of Veterinary Medicine, now, Uttar Pradesh, India
Universidad Complutense de Madrid, Madrid, Spain Ashley Phillips, Department of Environmental and Occu-
Klara Matouskova, Department of Environmental Health pational Health Sciences, University of Washington,
Sciences, School of Public Health and Health Sciences, Seattle, WA, United States
University of Massachusetts, Amherst, MA, United Micheline Piquette-Miller, Leslie Dan Faculty of Phar-
States macy, University of Toronto, Toronto, ON, Canada
Roger O. McClellan, Independent Advisor, Toxicology V.B. Popov, Laboratory of General Toxicology and
and Risk Analysis, Albuquerque, NM, United States Hygienic Regulation of the Scientific Research Institute
Dejan Milatovic, Independent Researcher, Alexandria, of Hygiene, Occupational Pathology and Human Ecol-
VA, United States ogy of the Federal Medical and Biological Agency,
Kuzmolovsky Settlement, Vsevolozhsky District, Len-
Ali Mustafa Mohammed, School of Pharmacy/Toxicol- ingrad Region, Russian Federation
ogy, Faculty of Health Sciences, University of Eastern
Finland, Kuopio, Finland; College of Pharmacy, Uni- M. Margaret Pratt, Office of Research and Development
versity of Duhok, Duhok, Iraq (Mail Code: 8602R), Center for Public Health &
Environmental Assessment, Washington, DC, United
Thomas J. Montine, Department of Pathology, Stanford States
University School of Medicine, Stanford, CA, United States
G.A. Protasova, Laboratory of General Toxicology and
Peter Møller, Department of Public Health, University of Hygienic Regulation of the Scientific Research Institute
Copenhagen, Copenhagen, Denmark of Hygiene, Occupational Pathology and Human Ecol-
Pushpinder Kaur Multani, Janssen Pharmaceuticals, ogy of the Federal Medical and Biological Agency,
Malvern, PA, United States Kuzmolovsky Settlement, Vsevolozhsky District, Len-
Mingwei Ni, Department of General Surgery, Mayo Clinic, ingrad Region, Russian Federation
Rochester, MN, United States Nishant Rai, Department of Pharmacology, Vallabhbhai
Efstathios Nikolaidis, Lab of Pharmacology, Veterinary Patel Chest Institute, University of Delhi, New Delhi,
School, Aristotle University of Thessaloniki, Thessa- India
loniki, Greece João Ramalho-Santos, CNC e Center for Neuroscience
Meliton N. Novilla, Shin Nippon Biomedical Laboratories and Cell Biology, University of Coimbra, Coimbra,
USA, Ltd, Everett, WA, United States Portugal; Department of Life Sciences, University of
Coimbra, Coimbra, Portugal
Stephanie Padilla, Biomolecular and Computational
Toxicology Division (B105-06), Center for Computa- Aramandla Ramesh, Department of Biochemistry, Cancer
tional Toxicology and Exposure, United States Envi- Biology, Neuroscience and Pharmacology, Meharry
ronmental Protection Agency, Durham, NC, United Medical College, Nashville, TN, United States
States Kausik Ray, Scientific Review Branch, Division of
Carlos M. Palmeira, CNC e Center for Neuroscience and Extramural Activities, National Institute on Deafness
Cell Biology, University of Coimbra, Coimbra, and Other Communication Disorders, Bethesda, MD,
United States
Contributors xvii
Arunabha Ray, Department of Pharmacology, Hamdard Offie P. Soldin, Departments of Medicine, Oncology,
Institute of Medical Sciences and Research, New Delhi, Physiology, and Biophysics, Georgetown University
India Medical Center, Washington, DC, United States
Aiguo Ren, Institute of Reproductive and Child Health, Chunjuan Song, Department of Biomedical Sciences,
Peking University, Beijing, China Iowa Center for Advanced Neurotoxicology, Iowa State
Stephen J. Renaud, Department of Anatomy and Cell University, Ames, IA, United States
Biology, University of Western Ontario & Children’s Ajay Srivastava, Vets Plus Inc., Menomonie, WI, United
Health Research Institute, London, ON, Canada States
Drucilla J. Roberts, Department of Pathology, Massa- Szabina A. Stice, College Park, MD, United States
chusetts General Hospital, Boston, MA, United States Tammy E. Stoker, Neurological and Endocrine Toxicol-
Lu Rongzhu, Department of Preventive Medicine and ogy Branch, Public Health and Integrated Toxicology
Public Health Laboratory Sciences, School of Medicine, Division, Center for Public Health and Environmental
Jiangsu University, Zhenjiang, Jiangsu, China Assessment, Office of Research and Development,
Magdalini Sachana, Environment Health and Safety United States Environmental Protection Agency,
Division, Environment Directorate, Organisation for Durham, NC, United States
Economic Co-operation and Development (OECD), Clinton A. Stonecipher, USDA Poisonous Plant Research
Paris, France Laboratory, Logan, UT, United States
Heidi Sahlman, School of Pharmacy/Toxicology, Faculty Sandra Szlapinski, KGK Science Inc., London, ON,
of Health Sciences, University of Eastern Finland, Canada
Kuopio, Finland Shihori Tanabe, Division of Risk Assessment, Center for
Nitin Saini, Janssen Pharmaceuticals, Malvern, PA, United Biological Safety and Research, National Institute of
States Health Sciences, Kawasaki, Kanagawa, Japan
Vandna Saini, Maryland, United States Arun Tatiparthi, Early Development - DART, Covance
L.V. Shabasheva, Laboratory of General Toxicology and Laboratories, Greenfield, IN, United States
Hygienic Regulation of the Scientific Research Institute João Batista Teixeira da Rocha, Departamento de Bio-
of Hygiene, Occupational Pathology and Human Ecol- química, CCB Universidade Federal de Santa Catarina,
ogy of the Federal Medical and Biological Agency, Florianópolis, Santa Catarina, Brazil
Kuzmolovsky Settlement, Vsevolozhsky District, Len- Suresh Kumar Thokchom, Department of Pharmacology,
ingrad Region, Russian Federation Vallabhbhai Patel Chest Institute, University of Delhi,
Abha Sharma, Department of Pharmacology, Toxicology New Delhi, India
and Medicinal Chemistry, National Institute of Phar- Belen Tornesi, Translation Department, Medicine for
maceutical Education and Research, Raebareli, Luck- Malaria Medicine, Geneva, Switzerland
now, Uttar Pradesh, India
Vanda Torous, Department of Pathology, Massachusetts
Suresh C. Sikka, Department of Urology, Tulane Uni- General Hospital, Boston, MA, United States
versity of Health Sciences Center, New Orleans, LA,
United States Peter Truran, Minnesota Center for the Philosophy of
Science, University of Minnesota, Minneapolis, MN,
Marilyn Helen Silva, Retired from a Career in Toxicology United States
and Risk Assessment, California Department of Pesti-
cide Regulation, California Environmental Protection Matthew C. Valdez, Neurological and Endocrine Tox-
Agency, Sacramento, CA, United States icology Branch, Center for Public Health and Envi-
ronmental Assessment, Office of Research and
Ilker Simsek, Cankõrõ Karatekin University, Eldivan Development, United States Environmental Protection
Health Services Vocational School, Cankiri, Turkey Agency, Durham, NC, United States; Oak Ridge Insti-
Rajkumar Singh Kalra, Immune Signal Unit, Okinawa tute for Science and Education, United States Depart-
Institute of Science and Technology Graduate Uni- ment of Energy, Oak Ridge, TN, United States
versity, Onna-son, Okinawa, Japan Laura N. Vandenberg, Department of Environmental
Anita Sinha, Vets Plus Inc., Menomonie, WI, United Health Sciences, School of Public Health and Health
States Sciences, University of Massachusetts, Amherst, MA,
Miguel A. Sogorb, Instituto de Bioingeniería, Universidad United States
Miguel Hernández de Elche, Elche, Spain
xviii Contributors
Neil Vargesson, School of Medicine, Medical Sciences Moges Woldemeskel, Department of Veterinary Pathol-
and Nutrition, Institute of Medical Sciences, University ogy, Tifton Veterinary Diagnostic and Investigational
of Aberdeen, Aberdeen, Scotland, United Kingdom Laboratory, College of Veterinary Medicine, University
Eugenio Vilanova, Instituto de Bioingeniería, Universidad of Georgia, Tifton, GA, United States
Miguel Hernández de Elche, Elche, Spain Jae-Ho Yang, Department of Pharmacology, School of
Kirsi H. Vähäkangas, School of Pharmacy/Toxicology, Medicine, Catholic University of Daegu, Daegu, South
Faculty of Health Sciences, University of Eastern Fin- Korea
land, Kuopio, Finland Zhaobao Yin, WY Acupuncture Clinic, PLLC Franklin,
Suryanarayana V. Vulimiri, Center for Public Health & TN, United States
Environmental Assessment, Office of Research and Xiaoyou Ying, Bioimaging, Translational In Vivo Models,
Development (Mail Code: MD B243-01) U.S. Envi- Global Research Platform, Framingham, MA, United
ronmental Protection Agency, Durham, NC, United States
States Begum Yurdakok-Dikmen, Department of Pharmacology
Genoa R. Warner, University of Illinois at Urbana- and Toxicology, Faculty of Veterinary Medicine,
Champaign, Department of Comparative Biosciences, Ankara University, Ankara, Turkey
Urbana, IL, United States Snjezana Zaja-Milatovic, Charlottesville, VA, United
Kevin D. Welch, USDA Poisonous Plant Research Labo- States
ratory, Logan, UT, United States Changqing Zhou, University of Illinois at Urbana-Cham-
Daniel C. Williams, Department of Biology, Coastal paign, Department of Comparative Biosciences,
Carolina University, Conway, SC, United States Urbana, IL, United States
Introduction
Infertility, unsuccessful conception, adverse pregnancy amelia. Other anomalies related to thalidomide syn-
outcomes, and birth defects have likely occurred since drome involved the eyes, ears, and central nervous
the inception of life. These events can often be attrib- system. From this tragedy, with exhaustive efforts over
uted to common factors such as genetic predisposition, half a century, scientists learned that: (1) wide species
malnutrition, hyperthermia, or a stressful environment differences exist due to unknown factors, (2) the period
at home or in the workplace. In addition, exposure to of exposure is crucial for expression of teratogenicity,
chemical toxicants, biotoxins, radiation, or multiple and (3) thalidomide exerts multifaceted effects through
other factors seems to be involved in infertility, multiple mechanisms, although the exact mechanism
miscarriage, birth defects, etc. A single factor or a of teratogenicity remains undetermined. Presently,
combination of these factors can exert deleterious ef- thalidomide and its analogs are available on the market
fects on male/female reproductive performance and on for indications in leprosy, Crohn’s disease, HIV, multi-
the mother, placenta, or conceptus after conception. ple myeloma, and vascular disorder, but of course it is
Homeostatic maintenance of human and animal/wild- not prescribed for women who are pregnant or are
life species requires proper function of the male and trying to get pregnant.
female reproductive systems, and development of
In another incident, methylmercury was involved in
offspring.
Minamata disease in Japan affecting approximately
Reproductive and developmental toxicology is a 3000 people after consumption of contaminated fish
very complex subject because of continuous changes during the late 1950s to the mid-1960s. In the early
taking place in the mother, placenta, and the unborn. 1970s, more than 10,000 people died and 100,000
Exposure of the developing organism to chemicals can suffered permanent brain damage in Iraq by consuming
occur in utero or through the breast milk or contami- “wonder wheat” imported from Mexico that was
nated food. It is well reported that developing organ- treated with methylmercury as a fungicide. In both in-
isms are more sensitive than adults to the toxic effects cidents, offspring of mothers exposed to methylmercury
of chemicals because of a limited defense system and suffered from severe malformations, cognitive impair-
detoxifying mechanisms. Particularly, the nervous and ment, and behavioral disorders, including “quiet baby
reproductive systems are more vulnerable to the toxic syndrome.” Due to the catastrophic effects of Minamata
insult of chemicals due to incomplete bloodebrain and disease, the Japanese government has established the
bloodetestes barriers. Compelling evidence suggests “National Institute for Minamata Disease” for bio-
that in utero or early postnatal exposure to chemicals monitoring and surveillance of mercury exposure to
not only damages the developing organism, but can avoid future cases.
predispose an individual to the development of devas-
Following the thalidomide and methylmercury in-
tating diseases like diabetes, metabolic syndrome,
cidents, drug safety efforts were intensified throughout
Alzheimer’s, or Parkinson’s in later life.
the world; however, although presently more than
Reproductive and developmental toxicological 80,000 chemicals are on the market, used alone or in
problems have been recognized for millennia, but this combinations, only 200 of them have been tested for
area of toxicology has received enormous attention toxicity and safety. Developmental and reproductive
since the thalidomide incident. During the period of toxicity testing in animals has been a vital component
1957e61, thousands of pregnant women around the of the drug development process for humans since the
world received thalidomide for morning sickness. More late 1940s. Currently, this set of nonclinical studies in
than 10,000 children, exposed in utero to thalidomide animals is required for drug approval by regulatory
during the first trimester of gestation, were born with a agencies, such as the US Food and Drug Administration
variety of severe birth defects, mainly phocomelia and (FDA), the Organization for Economic and Cooperative
. xix
xx Introduction
Development (OECD), the Japan Pharmaceutical The genetic and environmental factors in relation
Manufacturers Association (JPMA), and other such to chemical toxicity have changed significantly in the
agencies in many countries. Currently, many associa- last five to six decades. This is partly due to the flood of
tions (the Pharmaceutical Manufacturers Association, chemicals (therapeutic drugs, industrial chemicals,
the European Federation of Pharmaceutical Industries and environmental pollutants), greenhouse gases, and
Association, and the JPMA), professional organizations climate change. Alcohol, smoke, illicit drugs, anti-
(the Society of Toxicology and its specialty section on convulsants, and pesticides are among the most
Reproductive and Developmental Toxicology, the frequently encountered reproductive and develop-
Teratology Society, and the International Federation of mental toxicants. These substances, along with many
Teratology Societies), and regulatory agencies (primar- others, cross the placental barrier easily and can lead
ily from the United States, Europe, and Japan) are to a variety of adverse effects, including intrauterine
actively engaged in drug safety to avoid reproductive growth restriction, preterm birth, and spontaneous
and developmental effects. In this context, the Inter- abortion.
national Federation of Pharmaceutical Manufacturers
Environmental contaminants, such as PCBs and
Association (IFPMA) plays a pivotal role in bringing
brominated flame retardants, and recently bisphenol A,
together the regulatory authorities of the United States,
phthalates, perfluorooctanoic acid, pesticides, lead in
Europe, Japan, and elsewhere.
toys (toxic toys), cadmium and zinc in imported
In the United States, agencies including the Con- jewelry, and high levels of cadmium in drinking glasses
sumer Product Safety Commission, the US Environ- and dishes, have raised serious concerns about adverse
mental Protection Agency, the US FDA, the US health effects in general and reproductive and devel-
Department of Agriculture, the Agency for Toxic Sub- opmental effects in particular. The ongoing concern
stance and Disease Registry, the National Toxicology about “Toxic Childhood” in “Toxic America” is real and
Program, the National Institute of Environmental Health the community as a whole has no choice but to face the
Sciences, the National Institute for Occupational Safety challenges of the 21st century to minimize or remediate
and Health, and the Occupational Safety and Health chemical exposure.
Administration, and in Europe, the OECD and REACH
Approximately 3% of babies in the United States are
(Registration, Evaluation, Authorization and Restriction
born with birth defects that are life-threatening. One of
of Chemicals), play critical roles in the safety evaluation
the most common human birth defects is neural tube
of nonpharmaceutical chemicals.
defects (NTDs), due to failure of neural tube closure,
It is noteworthy that developmental and reproduc- often resulting in anencephaly, exencephaly, and spina
tive toxicity risk assessment criteria differ from country bifida. Although the etiology of NTDs is complex,
to country, and the International Conference on chemical agents (antiepileptic drugs, thalidomide,
Harmonization (ICH) and related agencies take an folate antagonists, etc.), in addition to genetic and
active part in dealing with such disparities. The objec- environmental factors, appear to be involved.
tive of all these regulatory agencies is to identify
Today’s advanced technologies allow biomonitoring
reproductive and developmental hazards and to ensure
of chemical (therapeutic and environmental concern)
the safety of drugs and chemicals. The third edition of
residues at parts per billion or parts per trillion in bio-
Reproductive and Developmental Toxicology provides
logical tissues and fluids. In a number of investigations,
extensive coverage of safety evaluation of new phar-
>10,000 babies were examined and more than 200
maceutical compounds and risk characterization of
chemicals were found in the umbilical cord. However,
chemicals using the guidelines of the agencies listed
the presence of a chemical in the cord blood does not
above.
prove the chemical is harmful to the unborn. Its harmful
The complexity of reproductive and developmental effects cannot be ruled out unless proven safe based on
toxicity involves many variables, including species, toxicity testing. In essence, every chemical is safe un-
gender, developmental stage, diet, genetic poly- less proven toxic. Molecular toxicology offers novel
morphisms, environment, and many other factors. biomarkers and sensitive endpoints of cellular and
Pregnant and lactating women, the unborn, infants, and molecular damage (biochemical, neurochemical, or
toddlers constitute unique populations with greater histopathological) to the fetus that are particularly
vulnerability in terms of sensitivity to chemicals. Even useful in reproductive and developmental toxicity and
functional foods including black tea, coffee, etc., can safety testing. In vitro, in vivo, and in silico models,
cause developmental effects if consumed in excess national and international guidelines for toxicity
during gestation. testing, and international harmonization in risk
Introduction xxi
assessment criteria are necessary for the safety evalua- testing and screening of chemicals having the potential
tion of chemicals and drugs. Pharmacokinetics, tox- for reproductive and developmental toxicity. Since the
icokinetics, and physiologically based placenta is key to the success of pregnancy, extensive
pharmacokinetics of drugs/toxicants seem to differ coverage of placental toxicity is provided with five
substantially in males vs. females, and more so in chapters, dealing with placentation in humans and ro-
pregnant vs. nonpregnant; and therefore, special dent species, placental role in fetal programming and
attention should be paid when dealing with pregnan- biocommunication between mother and fetus, placental
cies, and fetal, neonatal, and pediatric populations. structure, function and barrier, significance of trans-
Current technologies such as ultrasound, MRI, and porters and other molecular mechanisms in the feto-
micro-CT imaging aid in an early diagnosis of any placental unit, and toxicologic pathology of a variety of
malformations in embryonic-fetal development. drugs, chemicals, and biotoxins. Finally, the last section
of the book offers multiple chapters describing repro-
Reproductive and Developmental Toxicology, third
ductive and developmental toxicity and endocrine
edition, is the single most comprehensive resource on
disruption in domestic, wildlife, and aquatic species.
this subject, comprised of more than 70 chapters, which
Many new chapters are added to this edition on timely
are logistically arranged into 15 sections. The book is
topics, such as e-cigarette smoking, hemp/cannabis, UV
prepared with a user-friendly format for academia, in-
screening chemicals, trichothecenes and zearalenone,
dustry, and regulatory/governmental agencies. Stand-
developmental neurotoxicity of air pollution, and
alone chapters are provided on major topics, so the
problems of infertility.
reader can easily find the required information. The
volume covers in addition to radiation, many important The contributors of this book are highly qualified
topics related to reproductive and developmental toxi- and considered authorities in toxicology in general and
cants, such as endocrine disruptors, pesticides, indus- reproductive and developmental toxicology in partic-
trial solvents, metals, bisphenol A, nanoparticles, ular. Their hard work and dedication to this book is
phytoestrogens, and mycotoxins. A section on special greatly appreciated. The editor expresses his gratitude
topics covers chapters on drugs and chemical contam- to Robin B. Doss for her technical assistance. The editor
inants in human breast milk, stem cells in toxicity testing immensely appreciates the tireless efforts of editorial
and therapy, epigenetics, cell signaling mechanisms, project manager Ms. Kristi Anderson, acquisitions edi-
neuroinflammation, stress, and mitochondrial dysfunc- tor Ms. Kattie Washington, production project manager
tion in reproductive and developmental toxicity. Multi- Ms. Kiruthika Govindaraju, and other technical staff at
ple chapters offer state-of-the-art techniques, including Academic Press/Elsevier for their various roles in the
ultrasound, MRI, and micro-CT imaging for prenatal preparation of this book.
diagnosis of developmental anomalies. Atlas-style
Ramesh C. Gupta
coverage of toxicologic pathology is presented for
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Section I
General
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Chapter 1
Chapter outline
Introduction 3 Oocyte/sperm transport, normal capacitation of sperm,
Important definitions and concepts 4 and fertilization 23
Reproduction 4 Transport of the ovulated oocyte 23
Hormones and hormone receptors 5 Transport and capacitation of spermatozoa 23
Gonadal steroid hormones and their “nuclear” receptors 5 Fertilization 23
Genomic and nongenomic mechanisms of action of Important aspects of normal embryonic and fetal
gonadal steroid hormones 6 development 24
Review of normal human reproduction 6 Historical perspective 24
Historical perspectives and complexity of reproductive Blastocyst formation and differentiation of the
function 6 germ cell layers 24
Relevance of a basic understanding of human reproductive “Maternal recognition of pregnancy” and implantation 24
anatomy and physiology 8 Formation of the extraembryonic membranes 26
Neuroendocrine control of reproduction 8 Sex determination and sexual differentiation of
Puberty and sexual maturity 8 reproductive function 27
The onset of puberty 8 The endocrinology of pregnancy 29
The endocrinology of puberty 10 Gestational hormones 29
Normal male reproductive anatomy and physiology 10 Parturition 29
Developmental perspectives 10 Physiology of parturition 29
Reproductive anatomy of the male 10 The mammary glands 30
Spermatogenesis 17 Anatomy 30
Male reproductive physiology 18 Physiology of lactation 30
Normal female reproductive anatomy and physiology 19 Reproductive senescence 31
Developmental perspectives 19 Concluding remarks and future directions 31
Reproductive anatomy of the female 19 References 31
Female reproductive physiology 20
chapter, along with detailed illustrations, to provide toxicants (Evans, 2007; Foster and Gray, 2008). Other
anatomical and physiological bases for the discussions of references can be consulted for more in-depth discussion of
specific reproductive toxicants throughout the remainder of specific cells or organs involved in the reproductive process
this book. (De Jonge and Barratt, 2006; Payne and Hardy, 2007;
For one to fully appreciate how xenobiotics can Skinner and Griswold, 2005). The reader is also directed to
adversely affect reproductive function, including develop- references cited in this chapter (many of which are avail-
ment, it is necessary to have some understanding of the able online) to gain additional insight into the specific
coordinated sequence of events and physiological processes topics being discussed.
involved. Normal reproduction will be reviewed in this
chapter to provide anatomical and physiological bases for
the discussions of specific mechanisms of action and
Important definitions and concepts
reproductive toxicants in the other chapters of this book. Reproduction
Although the emphasis of this chapter will be on human
Reproduction in humans, as well as domestic, wild, and
reproduction, many of the same principles are applicable to
laboratory vertebrates, encompasses awide range of physi-
reproductive processes in other mammals, as well as other
ological processes and the associated behaviors and
classes of vertebrates.
anatomical structures necessary for the birth of the next
Unfortunately, space constraints limit the amount of
generation of a given species (Evans, 2007; Senger, 2007).
information that can be presented in this chapter, and many
Those physiological processes involved specifically in hu-
of the presented topics cannot be discussed at great length.
man reproduction are illustrated in Fig. 1.1 and generally
If additional information is required for better understand-
include the following (Evans, 2007):
ing of the subject matter, there are several excellent text-
books that provide an overview, including detailed 1. Gametogenesis (production of sperm or ova) and the
illustrations, of the basic reproductive anatomy and physi- pre- and peripubertal changes leading up to its onset;
ology of humans (Berne et al., 2004; Netter, 1997; Piñón, 2. Release of gametes (i.e., sperm transport/maturation, li-
2002), as well as animals (Senger, 2007). There are also a bido/courtship, penile erection, intromission/copulation,
number of book chapters in other toxicology texts that emission and ejaculation of semen, and ovulation of an
cover this information, as it applies directly to exposures to oocyte);
FIGURE 1.1 The continuum of developmental stages and reproductive functions taking place in males and/or females, as well as the embryo and fetus,
are shown schematically and illustrate the complexity of reproduction in mammalian species, especially in humans, where additional behavioral, psy-
chological, social, and environmental factors, as well as eventual senescence, can come into play. Adapted by Don Connor, Howard Wilson, from Evans,
T.J., 2007. Reproductive toxicity and endocrine disruption. In: Gupta, R.C. (Ed.), Veterinary Toxicology: Basic and Clinical Principles. Academic Press/
Elsevier, New York, pp. 206e244.
Reproductive anatomy and physiology Chapter | 1 5
3. Formation of the zygote (i.e., sperm storage, capacita- xenobiotics are also capable, under certain exposure con-
tion, and processes leading to fertilization or union of ditions, of modulating the interactions between endogenous
a single sperm with an egg); hormones and their receptors.
4. Embryonic and fetal development during pregnancy or
gestation (i.e., activities related to the initiation and pro- Gonadal steroid hormones and their
gression of zygote cleavage, blastocyst formation, sep- “nuclear” receptors
aration of the germ layers, placentation, neurulation,
As has been reviewed by the authors previously (Evans
and organogenesis);
et al., 1997), the basic structure of steroid hormones con-
5. Parturition or “birth” of a single or multiple offspring;
sists of four rings labeled as A, B, C, and D. The various
6. Lactogenesis and lactation for the postpartum nutrition
members of this hormone class differ from one another with
of offspring.
respect to the location of double bonds and types of func-
All of these processes are potential targets for repro- tional groups attached to the ring structure. The major
ductive toxicants present in the environment, workplace, or gonadal steroids are also referred to as the “sex” steroids
home. and include androgens [i.e., androstenedione, testosterone,
and dihydrotestosterone (DHT), which is the 5a-reductase
Hormones and hormone receptors conversion product of testosterone in the testes and selected
nongonadal tissues], estrogens (i.e., estradiol and estrone),
The term “hormone” classically refers to a substance that is and, for the purposes of this chapter, progesterone and other
secreted into the circulation by a ductless gland and that alters endogenous progestagens. Mineralocorticoids, glucocorti-
the function of its target cells (Hodgson et al., 2000). coids, and progestagens are all 21-carbon compounds.
Although the traditional “endocrine” aspect of hormone ac- Androgens are 19-carbon compounds, and estrogens
tion involves organ-to-organ signaling (and in the case of contain 18 carbons. In the classical D4 biosynthetic
mammalian pregnancy animal-to-animal signaling), it is pathway for endogenous steroids, cholesterol is the steroid
recognized that hormones can also be involved in “paracrine” precursor, and the rate-limiting step in steroidogenesis is
(cell-to-cell) communication and signaling pathways within cholesterol transfer within the mitochondria, which is
the same cell in which they were produced (“autocrine” mediated by steroidogenic acute regulatory protein (Stocco,
function) (Evans, 2007). In vertebrates there are a wide va- 2007). Cholesterol is cleaved and converted to the pro-
riety of different hormones involved in reproductive func- gestagen, pregnenolone, which is converted to progesterone
tion. The major reproductive hormones are generally by 3b-hydroxysteroid dehydrogenase. Androstenedione is
grouped according to their basic molecular structure and synthesized from progesterone by the actions of several
include amino acid derivatives (e.g., dopamine or prolactin enzymes, including 17-hydroxylase, and can be converted
inhibitory factor and melatonin); peptides (e.g., oxytocin, to testosterone by 17b-hydroxysteroid dehydrogenase.
adrenocorticotropin hormone or ACTH, corticotropin Androgens are converted to estrogens by aromatase, a
releasing factor or hormone or CRF/CRH, gonadotropin member of the cytochrome P450 family of enzymes. An-
releasing hormone or GnRH, and thyrotropin releasing hor- drostenedione is converted to estrone, and testosterone is
mone or TRH); proteins (e.g., activin, inhibin, insulin-like converted by aromatase to estradiol. It is also possible in
growth factors, prolactin, and relaxin); glycoproteins the D4 steroidogenesis pathway for estradiol to be synthe-
(e.g., follicle-stimulating hormone or FSH, luteinizing hor- sized from estrone via the actions of 17b-hydroxysteroid
mone or LH, and thyroid-stimulating hormone or TSH or dehydrogenase (Evans et al., 1997).
thyrotropin); steroids (e.g., androgens, estrogens, and pro- In appropriate cell types, mineralocorticoids and glu-
gestagens); and eicosanoids, which include prostaglandins. cocorticoids can be synthesized from progesterone. Inter-
The actions of hormones on their targets are generally estingly, both of these types of steroid hormones can also
mediated through receptors that initiate or inhibit some sort interact with the promiscuous mineralocorticoid receptor.
of signal transduction pathway or are required for hormone- Isoforms of 11b-hydroxysteroid dehydrogenase are present
induced alterations in gene expression. Hormoneereceptor in many different cell types to regulate the relative pro-
interactions can be modulated by a number of factors, portions of the active and inactive forms of glucocorticoids
including the amount of hormone present, the affinity of the (i.e., cortisol and cortisone, respectively, in humans). This
hormone for the receptor, receptor density and occupancy regulation is important from the perspective of mineralo-
and interactions with other hormones, receptors and corticoid activity, as well as the modulation of the adverse
hormone-receptor complexes, as well as a variety of effects of glucocorticoids on reproduction and other phys-
endogenous coactivators and inhibitors (Bigsby et al., iological processes (Hardy and Ganjam, 1997).
2005; Evans, 2007; Genuth, 2004a). It should be evident The gonadal steroids facilitate the development and
from the topics covered in this textbook that various regulation of reproductive function in humans and animal
6 SECTION | I General
species, in large part by interacting with (i.e., functioning as nuclear receptor complexes and specific regions of DNA
ligands for) receptors that are members of the steroid/thy- upstream from the basal promoter of a given gene, referred
roid (“nuclear”) receptor superfamily, the largest family of to as hormone response elements or, more specifically,
transcription factors in eukaryotic systems (Evans, 2007; androgen and estrogen response elements (Genuth, 2004a;
Genuth, 2004a; Tsai and O’Malley, 1994). Receptors in Tsai and O’Malley, 1994). It is now understood that these
this superfamily are large oligomeric proteins (Genuth, “genomic” effects of gonadal steroids and their nuclear
2004a), which generally consist of six domains (A/B, C, D, receptors, which involve alterations in gene transcription,
E, and F) (Tsai and O’Malley, 1994). Although specific can, in some instances, involve heterodimers of different
portions of the gonadal steroid nuclear receptor molecules nuclear steroidereceptor complexes, indirect binding of
can interact with a variety of coactivators as well as in- hormoneereceptor complexes to DNA via proteins within a
hibitors, the most important domains of these receptors are preformed transcriptional complexes, and even ligand
generally considered to be those involved in transactivation (hormone)-independent “activation” of nuclear gonadal
(N-terminal A/B domain; also C-terminus in estrogen re- steroid receptor molecules (Bigsby et al., 2005; O’Donnell
ceptors); DNA-binding and hormoneereceptor complex et al., 2001; Thomas and Khan, 2005). In addition, it is also
dimerization (middle portion containing two helical zinc apparent that gonadal steroids can affect cellular function
fingers; C domain); and hormone (ligand) binding (C- by nongenomic mechanisms of action involving changes in
terminus; E domain) (Bigsby et al., 2005; Genuth, intracellular concentrations of ions, cAMP and its second
2004a). Although androgen, estrogen, and progesterone messengers, and the mitogen-activated protein kinase
receptors, which are members of the steroid/thyroid su- pathway. These nongenomic mechanisms are independent
perfamily, are often thought of as being exclusively nuclear of the somewhat “time-consuming” alterations in gene
in their location, these receptors can also be located in the expression traditionally associated with gonadal steroids
cytoplasm of some cells. Cytoplasmic and nuclear gonadal and occur rapidly within seconds or minutes (O’Donnell
steroid receptors can be bound to a variety of different heat et al., 2001; Thomas and Khan, 2005). Although the rapid,
shock proteins, which interact with the receptor’s hormone- nongenomic effects of gonadal steroids most likely involve
binding domain. Heat shock proteins can act as “blocking” receptors bound to the plasma membrane, the specific
molecules and are displaced by hormones binding to the identity and classification of these receptors remain unclear
receptors (Bigsby et al., 2005; Genuth, 2004a) or as and might involve a number of different receptor types
“chaperones” involved in receptor turnover and “traf- (Evans, 2007; O’Donnell et al., 2001; Razandi et al., 1999;
ficking” of these receptors between the nucleus and cyto- Thomas and Khan, 2005; Warner and Gustafsson, 2006).
plasm (Evans, 2007).
There is reportedly a single type of androgen receptor
that is a member of the steroid/thyroid superfamily. In
Review of normal human reproduction
contrast, there are two types of nuclear estrogen receptors Historical perspectives and complexity of
(ERa and ERb), which are the products of distinct genes on reproductive function
separate chromosomes (O’Donnell et al., 2001). ERa and
It should be evident from a review of Fig. 1.2AeC that for
ERb differ in their amino acid structure, tissue distribution,
well over 200 years the basic anatomical components
affinity for selective ER modulators, and their role in fe-
required for human reproduction have been fairly well
male (Britt and Findlay, 2002) as well as, somewhat sur-
recognized and their primary functions understood. How-
prisingly, male fertility (Evans, 2007; Hess, 2003;
ever, it has only been more recently that we have gained a
O’Donnell et al., 2001). The nuclear progesterone receptor
more accurate understanding of the specific cellular, hor-
also has two isoforms, progesterone receptor A and pro-
gesterone receptor B (PRA and PRB, respectively), which monal, and molecular aspects involved in this process.
Fig. 1.1 demonstrates how reproduction is a complex and
differ slightly in their amino acid sequences and their in-
dynamic process involving precise coordination and inte-
teractions with coactivators, but, unlike ERa and ERb,
gration of the functions of multiple organs within the body.
PRA and PRB are the product of a single gene (Brayman
The production of viable and functional gametes and their
et al., 2006).
transport and union to form a zygote that develops into a
healthy and fertile individual require that many stringent
Genomic and nongenomic mechanisms of
physiological and metabolic needs be met. A thorough
action of gonadal steroid hormones understanding of the mechanisms involved in reproduction
Traditionally, the receptor-mediated reproductive effects of is absolutely essential to recognize which steps in the
gonadal steroids were thought to occur almost exclusively reproductive process are most susceptible to the adverse
through interactions between homodimers of the hormone effects of potential toxicants.
Reproductive anatomy and physiology Chapter | 1 7
(A) (C)
(B)
FIGURE 1.2 An artist’s renderings, which were obviously not drawn to scale and which were published in the Modern Universal Dictionary of Arts and
Sciences (also referred to as Hall’s Encyclopedia) in or around 1798, show the male and female “organs of generation” and a representation of the “manner in
which fetus is nourished in utero” in A, B, and C, respectively. Although, unfortunately, the original legends for these drawings were not available for review
of the terminology, it should be clear, despite some departures from our current understanding, that there was a basic comprehension and appreciation of
reproductive anatomy at the time and that people were keenly interested in learning more about these physiological processes. This figure will be explained in
quite some detail, as it provides a historical basis for the extensive, subsequent investigation of the cellular, as well as subcellular and molecular, processes
involved in mammalian and, more specifically, human reproductive function. In A, the key anatomical components being demonstrated in Fig. 1 are posterior
views of the urinary bladder (A), showing the entry of the ureters (B) into the bladder; the ductuli or ducti deferens (C) and their expanded distal extremities
(i.e., the ampullae), which are considered accessory sex glands in men; and the other male accessory sex glands, including the seminal vesicles (D), the
prostate gland (E), and bulbourethral or Cowper glands (F). The position of the seemingly erect penis (most likely straightened for display purposes), with the
foreskin and, possibly, the fascial and portions of the muscular layers removed, is not one that would be observed in situ (image of in situ anatomical
arrangement not shown). If the pelvis were present, the pelvic urethra would form an approximately 90-degree angle with the penile or cavernous urethra and
would be directed away from the reader. The “penile” structures shown from an inferior view include the bulbus urethrae covered by the bulbocavernosus
muscles (G); the corpus spongiosum, which surrounds the penile urethra (H); the paired ischiocavernosus muscles (I); what appear to be the penile corpora
cavernosa (K); and the distal end of the urethra surrounded by the glans. In Fig. 2 of A, the urinary bladder (A) and the ureters, ductuli deferens, and
seminiferous vesicles (D, E, and F, respectively) are observed from an anterior view, and the “penile” structures in this image, which would be directed
toward the reader in the presence of a pelvis, can be evaluated from a superior view. Important structures on the floor of the penile urethra (L), which
terminates at the external urethral orifice located within the glans (M), include the seminal colliculus and the orifices of the ejaculatory ducts (I), as well as the
multiple orifices of the prostate gland (K). The testis (D) in Fig. 4 appears to be covered by an intact parietal tunica vaginalis (i.e., a protective connective
tissue structure that has internal or visceral and external or parietal components), with the cremaster muscle (C) and components of the spermatic cord (A and
B) shown. The parietal tunica vaginalis appears to have been removed from the testis (E) in Fig. 5, which is viewed from the lateral perspective, showing
portions of the epididymis (C and D), as well as the vascular components of the spermatic cord (A) and the ductus deferens (B). In B, the key anatomical
components of the female reproductive tract and nearby organs are shown from frontal (Fig. 1) and posterior perspectives (Fig. 4). The fundus (A), body (B),
and cervix or internal cervical os (C) of the simplex human uterus are illustrated in Fig. 1 and connect with the uterine or Fallopian tube or oviduct (D) and its
terminal infundibulum, with the associated fimbriae and ostium (E) above, and with the vagina (H) below. The urethral orifice and the associated openings of
various ducts and what is most likely the clitoris are indicated by I and K, respectively. The round ligament is denoted by (G) In Fig. 4, it should be noted that
the reproductive tract lies below the urinary bladder (A) and above the rectum (G). The tubular genitalia, including the uterus (B), the body of the uterine tube
(C), and the oviduct’s terminal infundibulum, with its fimbriae (D), are all suspended within the broad ligament (F in both Fig. 1 and Fig. 4), along with the
ovaries (E). As was customary for the particular time period in which it was drawn, C shows an extremely mature fetus (A) exhibiting some developmental
characteristics more typical of older children or, even, young adults than neonates. This meticulously drawn illustration clearly shows the umbilical cord (B),
the amnion (C) and the discoid placenta with its decidual (maternal) and chorionic (fetal) components. The detail in this drawing implies a reasonable
understanding of the importance of the placenta and its circulation for fetal nourishment and well-being. Modifications of figures were performed by Howard
Wilson and Don Connor.
8 SECTION | I General
Pituitary
anterior lobe
LTH
H)
( pro
lac
(L
tin)
SH
LH
H
IC
FS
FS
(IC
H
SH
Inhib
ition
ition
)
ition
Inhib
Inhib
Testis
Ovary
Androgen (testosterone)
Estrogen(s)
Proges
2nd testicular
terone
hormone?
(estrogen)
Prot.
Na
H20
Hormone
metabolism
FIGURE 1.3 The basic gonadal steroidogenic pathways, target sites, feedback loops and routes of excretion for the adult male and female human are
summarized in this figure. Positive and negative feedback mechanisms involving gonadal steroids help maintain an endocrine environment that is
conducive to normal male and female reproductive function. Adapted from Netter, F.H., 1997. The Netter Collection of Medical Illustrations, vol. 2.
Reproductive System. Saunders Elsevier, Philadelphia.
The progression of puberty in boys is also evaluated by pubic hair developing between 12 and 16 years of age
assessing gonadal and penile growth and development, (Genuth, 2004b). Although“full” reproductive function in
which unlike adrenarche depends on the hypothalamice males is usually achieved by 15e17 years of age, this is
pituitaryegonadal axis. On average, boys begin pubertal subject to some variation and is not the same as “maximum
development by the time they are 10e11 years of age, with reproductive function.” In addition to the visual assessment
10 SECTION | I General
of various physical characteristics related to sexual matu- testis (testicle) are spermatogenesis or production of male
rity, the progression of puberty in humans can also be gametes (sperm or spermatozoa) and steroidogenesis (pro-
assessed by measurement of serum concentrations of duction of androgens and estrogens). Unlike the female in
estradiol and testosterone, as well as other estrogens and which oogonia are no longer replicating and the full com-
androgens (Foster and Gray, 2008; Genuth, 2004b). plement of potential oocytes is present at birth, spermato-
gonia are proliferating and differentiating into spermatozoa
The endocrinology of puberty continuously, and the testis is organized in such a way as to
From an endocrine perspective, puberty is associated with maximize sperm production (Evans, 2007; Foster and Gray,
maturation of the hypothalamicepituitaryegonadal axis 2008; Senger, 2007). Fig. 1.2A clearly shows the primary
and the ability of the hypothalamus to release enough anatomical components of the male reproductive tract, and,
GnRH to induce gonadotropin production by the anterior although the names and understanding of the underlying
pituitary gland (Evans, 2007; Genuth, 2004b; Senger, cellular and molecular processes taking place in these tis-
2007). This endocrine milestone is brought about by the sues have changed over the last 200 years, the appearance
postnatal developmental changes that allow the hypothal- of these structures and how they are presented in anatom-
amus to overcome the negative feedback of testicular an- ical illustrations have essentially remained unchanged.
drogens and estrogens in males and that facilitate the
ovary’s ability to produce sufficient estrogens to induce the Testicular structure
preovulatory surge of GnRH in females (Evans, 2007;
Taking a closer look at the human testis, it is evident that
Senger, 2007). Many of the endocrine changes that come
the testis is divided into lobules of parenchyma consisting
into play with the onset of puberty are also involved in the
of tubular and interstitial compartments (Evans, 2007;
transition from anestrus to the ovulatory season in
Netter, 1997; Senger, 2007). The structural and functional
seasonally polyestrous female animals (Evans, 2007).
units within the tubular compartment are the seminiferous
tubules (Fig. 1.6A and B), which, depending on the species,
Normal male reproductive anatomy and comprise approximately 80% of the adult testis (Genuth,
physiology 2004b). As shown in Fig. 1.6A, seminiferous tubules form
highly convoluted loops (tubulus contortus) that begin and
Developmental perspectives
end with straight portions (tubulus rectus) that connect to
Although the mechanisms of sexual differentiation will be the rete tubules (Genuth, 2004b; Netter, 1997; Senger,
covered in greater detail later in this chapter, it is important 2007). In some species, such as the human, the rete tubules
to note, as male and, subsequently, female reproductive coalesce in a fibrous region of the testis referred to as the
anatomy and physiology are reviewed, that there is an mediastinum, which joins with septal projections of the
“undifferentiated” stage during development (Fig. 1.4A), tunica albuginea, part of the testicular capsule. The rete
where the male fetus is internally and externally indistin- tubules join with the efferent ductules, which attach to the
guishable from the female fetus. A complex set of structural epididymitis, which leads into the ductus deferens or vas
modifications (Fig. 1.5A and B) result in what is seen deferens.
internally, with respect to the testes and excurrent duct Within the seminiferous tubules are germ cells at
system (Fig. 1.4A), as well as externally for penile and various stages of differentiation and Sertoli cells, which
scrotal morphology (Fig. 1.4B). provide germ cells with structural support and nutrients, as
well as regulatory and paracrine factors (Foster and Gray,
Reproductive anatomy of the male 2008) (Fig. 1.6B). Tight junctions (junctional complexes)
Anatomical structures associated with reproduction in the between adjacent Sertoli cells divide the seminiferous
male usually include, especially in mammals, paired testes epithelium into basal and adluminal compartments, with
(i.e., male gonads) positioned outside the abdominal cavity Sertoli cells anchored to the basement membrane and sur-
in most species; an excurrent duct system (i.e., efferent rounding the developing populations of germ cells (Evans,
ductules, paired epididymitis, ductus deferens, and urethra); 2007; Foster and Gray, 2008; Genuth, 2004b; Senger,
accessory sex glands (i.e., ampullae, seminal vesicles, 2007). The seminiferous tubules are surrounded by peri-
prostate, and bulbourethral glands); a scrotum and its tubular myoid cells, which participate in important celle
associated thermoregulatory functions to protect the testes cell interactions with Sertoli cells, the junctional complexes
from mechanical and thermal insult; and some form of of which form the “bloodetestis barrier” or “Sertoli cell
copulatory organ or penis with a mechanism for protrusion, barrier” to prevent free exchange of large proteins and some
erection, emission of glandular secretions, and sperm into xenobiotics between the blood and the fluid within the
the urethra and ejaculation of semen from the urethra at the seminiferous tubules (Hess and França, 2005; Senger,
time of orgasm (Fig. 1.2A). The primary functions of the 2007). It should be noted from Fig. 1.6B that, as expected,
Reproductive anatomy and physiology Chapter | 1 11
Diaphragmatic ligament
(suspensory ligament of ovary)
Mesonephric tubules
Genital cord
Inguinal fold
Urogenital sinus
Undifferentiated
Male Female
FIGURE 1.4 The “undifferentiated” stage observed in the fetus, regardless of genotypic sex, early in gestation prior to gonadal sexual differentiation, as
well as the gonads, internal genitalia, and other associated anatomical structures of the sexually mature male and female shown in A. B (p. 14) illustrates
the standard sequence of events in the development of the external genitalia of men and women, as well as other mammalian species. The failure of the
urethral groove to close at any point during this sequence results in various degrees of hypospadias, which is a relatively common congenital birth defect in
male offspring and one which has been induced in laboratory species by prenatal exposure to a number of xenobiotics. Adapted from Netter, F.H., 1997.
The Netter Collection of Medical Illustrations, vol. 2. Reproductive System. Saunders Elsevier, Philadelphia.
12 SECTION | I General
Undifferentiated
Glans area
Epithelial tag
Urogenital fold
Genital tubercle
Urogenital groove
Lateral part
of tubercle
Anal tubercle
Anal pit
Male Female
Glans
Epithelial tag
45—50 mm 45—50 mm
(~10 weeks) Coronal sulcus
(~10 weeks)
Site of future origin of prepuce
Urethral fold
Urogenital groove
Lateral tubercle
(shaft or corpus)
Labioscrotal swelling
Urethral folds partly
fused (urethral raphe)
Anal tubercle
Anus
Perineal raphe
Perianal tissues
(including external
anal sphincter
muscle)
FIGURE 1.4 cont’d
Reproductive anatomy and physiology Chapter | 1 13
FIGURE 1.5 The initial stages in the development of the testis and the formation of the excurrent duct system are shown in (A) The initial formation of
the tunica albuginea isolates the epithelial cords from the surface epithelium, and the epithelial cords, rete testis, and mesonephric tubules (also referred to
as the mesonephric ductules or mesonephric duct system) subsequently interconnect. The epithelial cords (sex cords) will eventually become the sem-
iniferous tubules, and the mesonephric ductules will be incorporated into the formation of the excurrent duct system. (1) Celomic epithelium; (2) tunica
albuginea; (3) epithelial cords (future seminiferous tubules); (4) rete testis; (5) mesonephric tubules (later efferent ductules); (6) mesonephric duct [future
epididymis (proximal portion) contiguous with mesonephric tubules and ductus deferens (distal portion)]; (7) paramesonephric duct; (8) cranial remnant of
mesonephric duct system (aberrant ductules); (80 ) remnant of mesonephric duct (appendix of epididymis); and (9) caudal remnant of mesonephric duct
(paradidymis). The initial stages in the development of the ovary and the formation of paramesonephric ducts are shown in (B) The epithelial cords (sex
cords) penetrate and then regress within the developing ovary, eventually fragmenting and organizing into cell clusters that consist of a single oocyte
surrounded by a layer of granulosa cells (primordial follicles). The paramesonephric ducts undergo further development and differentiation, and the
mesonephric duct system begins to regress. (1) Celomic epithelium; (2) epithelial cords that initially penetrate then regress and fragment; (3) early
formation of future cortical region; (4) primordial follicles; (5) regressing mesonephric tubules; (6) mesonephric duct, which will eventually regress; and
(7) paramesonephric duct, which will undergo further development and differentiation into the major female tubular genitalia. Reproduced from Evans,
T.J., 2007. Reproductive toxicity and endocrine disruption. In: Gupta, R.C. (Ed.). Veterinary Toxicology: Basic and Applied Principles. Academic Press/
Elsevier, New York, pp. 206.
the appearance of the seminiferous tubules changes as male capillaries, lymphatic vessels, and connective tissue are
offspring mature postnatally. also present in this portion of the testicular parenchyma
Within the interstitial compartment, the primary cellular (Evans, 2007; Senger, 2007). The Leydig cells are ho-
components are the Leydig or interstitial cells, and mologous to the theca interna cells in the ovary and
14 SECTION | I General
Ductus epididymidis
Vas aberrans
Vas deferens
Vasa efferentia
Ductus epididymidis
Rete testis
(in mediastinum testis)
Seminiferous tubules
Vas aberrans
Rete testis
produce testosterone (also estrogen in some species). There also be noted that Leydig and, to a lesser extent, Sertoli
are species differences with respect to the abundance of cells contain enzymes involved in xenobiotic biotransfor-
Leydig cells in the interstitium, and these differences are mation, and the synthesis of toxic metabolites can actually
important to recognize when reporting Leydig or interstitial occur within the testis, in close proximity to the target cells
cell hyperplasia in response to toxicant exposure. It should for a given reproductive toxicant.
Reproductive anatomy and physiology Chapter | 1 15
Seminiferous epithelium
Late prepubertal
testis
Adult testis
Sagittal section.
Frontal section.
Ureteral orifice
Prostate
Utricle
Ejaculatory
orifice
Colliculus Cowper’s
gland
Urethral Urogenital
crest diaphragm
Membranous
urethra
Openings
of Cowper’s
Cavernous gland ducts
urethra
Posterior view.
Ureter
Cross-section (schematic: at
level of verumontanum).
FIGURE 1.7 The anatomical relationships between the accessory sex glands in sexually mature men and the histological appearance of the human
prostate gland are shown. Adapted from Netter, F.H., 1997. The Netter Collection of Medical Illustrations, vol. 2. Reproductive System. Saunders Elsevier,
Philadelphia.
and the scrotum for testes positioned outside the abdom- (Fig. 1.4B). As shown in Fig. 1.4B, the glans penis is
inal cavity. In humans, the foreskin is frequently removed homologous to the female clitoris, and stimulation of the
shortly after birth by circumcision. Penile structure is glans is the primary factor involved in the initiation of
extremely species variable, with some species even having ejaculation (Netter, 1997; Senger, 2007). The scrotum
a special penile bone (i.e., os penis), but the shaft of the protects the testes from mechanical injury and, in
penis generally consists of erectile tissue (corpus cav- conjunction with the tunica dartos, cremaster muscle, and
ernosum and corpus spongiosum), which surrounds the pampiniform plexus, plays a major thermoregulatory role
pelvic urethra. The development of the external genitalia with respect to temperature-sensitive, testicular spermato-
follows a standard sequence of events, and the failure of genesis (Senger, 2007). In some species of wildlife
the urethral groove to close at any point during this (e.g., elephants and marine mammals), the testes are
sequence results in various degrees of hypospadias positioned intraabdominally.
Reproductive anatomy and physiology Chapter | 1 17
Spermatogenesis Meiosis
Spermatozoa are highly specialized haploid cells equipped “Meiosis” takes place within the adluminal compartment of
with a self-powered flagellum to facilitate motility, as well the seminiferous tubules and involves the participation of
as an acrosome to mediate penetration of the zona pellu- primary and secondary spermatocytes in a total of two
cida. Spermatogenesis takes place within the seminiferous meiotic divisions. The chromosomal reduplication, synap-
tubules and consists of all the changes germ cells undergo sis, and crossover, as well as cellular division and separa-
in the seminiferous epithelium to produce adequate tion, which occur during this phase of spermatogenesis,
numbers of viable spermatozoa each day and to continu- are extremely complex and guarantee genetic diversity
ously replace spermatogonial stem cells (Evans, 2007; (Genuth, 2004b; Senger, 2007). The meiosis phase of
Foster and Gray, 2008). Spermatogenesis provides for ge- spermatogenesis is considered by some to be most sus-
netic diversity and ensures that germ cells are in an ceptible to toxic insult and ends with the production of
immunologically favored site (Senger, 2007). The duration haploid round spermatids.
of spermatogenesis varies with species but generally ranges
between 4 and 8 weeks (approximately 30e60 days) in Differentiation (spermiogenesis)
domestic and laboratory animals and is approximately Spermatozoa have been aptly characterized as “sophisti-
75 days (almost 11 weeks) in humans. It is important to cated, self-propelled packages of DNA and enzymes”
keep in mind the durations of spermatogenesis and (Senger, 2007). “Differentiation” or “spermiogenesis” in-
epididymal sperm transport in a given species, as well as volves all the changes occurring within the adluminal
the normal, species-specific number of spermatozoa pro- compartment, which transform round spermatids into
duced daily by the testes, when determining the period of spermatozoa possessing an acrosome for penetration of the
toxicant exposure relative to the appearance of abnormal zona pellucida and a tail or flagellum to facilitate motility
spermatozoa in an ejaculate and when assessing the (Genuth, 2004b). Differentiation can be subdivided into the
severity and reversibility of toxicant-induced damage to “Golgi,” “cap,” “acrosomal,” and “maturation” phases,
sperm precursors within the testes (Evans, 2007). which correspond, respectively, to acrosomal vesicle for-
Spermatogenesis can be subdivided into three phases or mation, spreading of the acrosomal vesicle over the nucleus,
stages referred to as “proliferation,” “meiosis,” and “dif- elongation of the nucleus and cytoplasm, and final assembly
ferentiation.” During each of these phases, sperm pre- involving the formation of the postnuclear cap organization
cursors or male germ cells (spermatogonia, spermatocytes, of the tail components (Senger, 2007). Following the nuclear
or spermatids) undergo specific, stepwise changes as they and cytoplasmic reorganization that characterizes the
develop into spermatozoa, which will eventually be changes to germ cells during spermiogenesis, differentiated
released into the excurrent duct system. Each of these spermatozoa are released from Sertoli cells into the lumen of
phases involves a different type of germ cell undergoing a the seminiferous tubules by a process referred to as “sper-
different developmental process, and, as such, these phases miation.” The complex signaling pathways and genomic
have the potential to differ in their susceptibility to the imprinting involved in regulating the differentiation of round
mechanisms of action of various reproductive toxicants spermatids into spermatozoa are potential targets for endo-
(Evans, 2007; Foster and Gray, 2008). crine disrupting chemicals (EDCs) or endocrine disruptors
Proliferation (mitosis or spermatocytogenesis) (Evans, 2007; Foster and Gray, 2008).
The “proliferation” phase of spermatogenesis has also been
referred to as “mitosis” or “spermatocytogenesis” and oc- The cycle of the seminiferous epithelium
curs within the basal compartment of the seminiferous tu- In most sexually mature mammals, spermatozoa are pro-
bule. Proliferation denotes all of the mitotic divisions duced continuously, with the entry of germ cells into the
involving spermatogonia (Foster and Gray, 2008; Senger, proliferation phase of spermatogenesis occurring in a co-
2007). A large number of B-spermatogonia result from the ordinated cyclic manner (Foster and Gray, 2008; Genuth,
mitoses of several generations of spermatogonia (e.g., A1, 2004b). Spermatogonia A in a given region of the semi-
A2, A3, A4, and I; some species variations in nomencla- niferous tubule commit to proliferate in a synchronous
ture) (Genuth, 2004b; Senger, 2007). Stem cell renewal is manner, with cohorts of their progeny germ cells (cellular
accomplished during proliferation by the reversion of some generations) connected by intercellular bridges and devel-
spermatogonia to more primitive germ cells (Senger, 2007). oping and differentiating in unison. Including spermato-
Germ cell mitosis during spermatogenesis ends with the gonia A, four or five generations or concentric layers of
transformation of B-spermatogonia into primary sper- sperm precursors are present in each cross-section of the
matocytes, and this process is particularly susceptible to seminiferous tubules (Fig. 1.6B). The cycle of the semi-
toxicants, such as chemotherapeutic agents and radiation, niferous epithelium in most mammals is characterized by
which target rapidly dividing cells (Evans, 2007). germ cells in each spermatogenic phase associating with
18 SECTION | I General
contiguous generations in a repeatable pattern of specific 2001; Payne, 2007). More recently, germ cells have been
cellular associations or “stages” (Foster and Gray, 2008; identified as another potential source of estrogen in the
França et al., 2005). There is generally only one stage per testis, and it is possible that germ cellederived estrogens
seminiferous tubular cross-section in subprimates, and each play major roles in regulating male reproductive function
stage transitions into the next at predictable intervals (Hess, 2003).
(Senger, 2007). At any given point along a seminiferous
tubule, the entire cycle of the seminiferous epithelium oc- Endocrine regulation of spermatogenesis
curs over a set time interval closely associated with the The basic gonadal steroidogenic pathways, target sites,
spermatogonial turnover rate for that particular mammalian feedback loops, and routes of excretion for the adult male
species. The number and durations of the various stages of human are summarized in Fig. 1.3. Although the female
the cycle of the seminiferous epithelium vary with species, hypothalamus has both fully developed tonic and surge
and various classification schemes have been used, based centers for GnRH release (especially before ovulation), the
on the morphological characteristics of the spermatid nu- hypothalamic GnRH surge center in the male is diminished,
cleus or the development of the acrosomic system. In and the anterior pituitary gland of the male does not
subprimates, sequential stages are arranged along the length experience surges in GnRH stimulation. This sex-specific
of the seminiferous tubule in consecutive order, forming a alteration in the hypothalamus facilitates the normal
“spermatogenic wave” (Haschek et al., 2010; Senger, endocrine milieu, which maintains continuous spermato-
2007). The progeny of one spermatogonium A will prog- genesis and stimulates normal sexual behavior. The tonic
ress through approximately 4.5 cycles of the seminiferous pulsatile release of GnRH induces the anterior pituitary to
epithelium before being released into the lumen of the produce pulses of LH and FSH several times during the day
seminiferous tubule and progressing through the rete testis and facilitates adequate LH-dependent testosterone pro-
into the excurrent duct system. An understanding of the duction and, depending on the species, normal FSH-
cycle of the seminiferous epithelium is very useful for the dependent Sertoli function, both of which are essential
evaluation of the effects of xenobiotics on spermatogenesis for spermatogenesis to occur continuously in the seminif-
and for the determination of the populations of germ cells erous tubules. In some species, FSH is primarily required
most susceptible to a given toxicant. for the onset of puberty and the initiation of spermato-
genesis, with many of the functions of FSH in the immature
Male reproductive physiology male being taken over by testosterone in the sexually
Gonadal steroid synthesis in the testes mature animal (Evans, 2007). Testosterone stimulates
The endocrine events that regulate spermatogenesis and Sertoli cells to produce several androgen-regulated proteins
sexual behavior in males are very distinct from those that (including androgen-binding protein), which are required
take place in females. The primary gonadal steroids pro- for spermatogenesis. Estrogens are required for various
duced by the testes are androgens, testosterone, and DHT, aspects of the normal development and function of Sertoli
which are also produced from testosterone in selected cells and germ cells within the seminiferous tubules. Xe-
nongonadal tissues, and estrogens (primarily estradiol in nobiotics that mimic or inhibit the actions of estradiol
most species), which are now recognized as playing within the testis can disrupt normal spermatogenesis.
essential roles in male reproductive development and
function (Hess, 2003; O’Donnell et al., 2001). Leydig cells Positive and negative feedback loops involved in
in the interstitium synthesize pregnenolone and then pro- male reproduction
gesterone from cholesterol and convert progesterone to Positive and negative feedback mechanisms involving
testosterone under the influence of LH (Genuth, 2004b; gonadal steroids help maintain an endocrine environment
Senger, 2007). The site of estrogen synthesis (i.e., aroma- that is conducive to normal male reproductive function
tase activity) varies with the age and species of animal. In (Fig. 1.3). In addition to these feedback loops, the Sertoli
the male fetus, postnatal immature male and, in some cell can produce activin and inhibin, which, respectively,
species, the adult male, Sertoli cells within the seminiferous increase and decrease the secretion of FSH by gonado-
tubules play a major role in the aromatase-mediated con- tropes and, in some species, GnRH release from the hy-
version of testosterone to estradiol under the influence of pothalamus (Haschek et al., 2010). Testosterone, DHT, and
FSH. In many mammals, however, Leydig cells in the fetal estradiol all provide negative feedback to the hypothalamus
testis and, especially, the postnatal immature testis gradu- with respect to GnRH release, and testosterone can also
ally begin to synthesize estrogens, and, at sexual maturity, a directly inhibit LH secretion by gonadotropes (Haschek
major portion of the estrogens in these species are produced et al., 2010; Senger, 2007). Xenoestrogens and xenoan-
by aromatase activity in the Leydig cells, under the influ- drogens have the potential to disturb the hypothalamice
ence of LH rather than FSH (Hess, 2003; O’Donnell et al., pituitaryegonadal axis (O’Donnell et al., 2001).
Reproductive anatomy and physiology Chapter | 1 19
Antiandrogens and a variety of other xenobiotics can Reproductive anatomy of the female
interfere with this feedback loop, resulting in excessive Although there are some distinct morphological differences
secretion of LH and Leydig or interstitial cell hyperplasia between species (e.g., simplex uterus in primates, duplex
(Evans, 2007; Foster and Gray, 2008). cervices in rabbits), the female reproductive tract, as shown
for humans in Fig. 1.2B, generally consists of paired ovaries,
Epididymal and accessory sex gland function the “tubular genitalia,” which include the paired oviducts
Epididymal development and function depend on the (uterine tubes), the contiguous uterus, cervix, vagina, vesti-
proper balance of androgenic and estrogenic stimulation bule, and vulva. In species other than humans and other
and are required for normal male reproductive function and higher primates, there are also separate uterine horns of
fertility. The accessory sex glands are considered to be varying lengths and degrees of curvature, which connect with
primarily androgen dependent, and the secretions of these the uterus (Evans, 2007; Senger, 2007). As in the male, the
glands, as well as those of the epididymitis, are important organs involved in female reproductive function have been
components of seminal fluid. Conversion of testosterone to well recognized for over 200 years and are physiologically
DHT can generally occur in the epididymitis, prostate, and and morphologically dynamic. They function to produce the
seminal vesicles. Hormonally active xenobiotics, which oocyte, facilitate its fertilization, provide an environment for
alter the normal endocrine events associated with epidid- embryonic and fetal development, and transport the fetus
ymal and accessory gland development and function, can from the maternal to the external environment. Variations in
have adverse effects on male fertility (Evans, 2007). size, appearance, location, and function of the female
reproductive organs depend on the endocrine milieu dictated
Sexual behavior, erection, emission, and by the effects of sexual maturation; stage of the estrous or
ejaculation menstrual cycle; gestational hormone production of
Sexual behavior is mediated by estradiol in postnatal males maternal, fetal, and/or placental origin; exposure to exoge-
and females. The conversion of the steadily produced nous hormonally active agents or HAAs (sometimes used
testosterone in the male to estradiol in the brain (plus the interchangeably with EDCs or endocrine disruptors); and
effects of estrogens of testicular origin) results in the male seasonal influences (Evans, 2007; Foster and Gray, 2008;
being sexually receptive most of the time (Evans, 2007; Netter, 1997; Senger, 2007).
Senger, 2007). Adequate libido and sexual receptivity, as The primary functions of the ovary are oogenesis or
well as adequate concentrations of testosterone, are neces- production of female gametes (oocytes or ova) and ste-
sary for erection of the penis, which is required for intro- roidogenesis (production of estrogens and progesterone).
mission during copulation (Sikka et al., 2005). Olfactory The ovaries of most domestic mammals consist of a pe-
(detection of pheromones), auditory, and visual stimuli play ripheral parenchymatous zone (cortex), containing various
roles in facilitating cholinergic and nonadrenergic/non- stages of follicular and luteal gland development and a
cholinergic parasympathetic neuron-mediated penile erec- central vascular zone (medulla), comprising collagenous
tion, which, especially in men and stallions, requires a connective tissue rich in blood vessels (Evans, 2007; Foster
significant amount of nitric oxideeassociated vasodilation and Gray, 2008; Genuth, 2004b; Senger, 2007). The
and vascular engorgement. During copulation, the events structural and functional unit of the ovary is the follicle
that lead to emission of the secretions of the accessory sex (Fig. 1.8). Follicles are classified as primordial, primary
glands and sperm (i.e., semen) into the urethra and the (some become atretic), secondary, and tertiary (i.e., antral)
ejaculation of semen from the urethra at the time of orgasm follicles based on their stage of development (Evans, 2007).
generally involve tactile stimuli to the glans penis, stimu- A primary oocyte surrounded by a single, flattened cell
lation by sympathetic neurons, and spinal reflexes. layer is a primordial follicle. A basal lamina separates the
single layer of what will become granulosa cells from
the adjacent stromal tissue that eventually develops into the
Normal female reproductive anatomy and
theca cells (theca interna and theca externa). The granulosa
physiology cells are homologous to the Sertoli cells in the testis, and
Developmental perspectives the theca interna cells are the female equivalent of the
Similar to the male, there is an “undifferentiated” stage Leydig cells (Evans, 2007; Senger, 2007). Following the
during development (Fig. 1.4A), where the female fetus is appropriate endocrine stimulation, primordial follicles are
internally and externally indistinguishable from the male recruited to undergo possible further differentiation into
fetus. What is eventually observed internally (Fig. 1.4A) as estrogen-producing antral (i.e., tertiary) follicles and ulti-
well as externally (Fig. 1.4B) in the female is due to a com- mately ovulation, which results in the release of a sec-
plex set of structural modifications (Fig. 1.5B), resulting in ondary oocyte (primary oocyte in dogs) and formation of a
the formation of the ovary and the internal tubular genitalia. corpus luteum, which produces progesterone.
20 SECTION | I General
Hypothalamus
Vaginal Vaginal Vaginal Vaginal
smear mucosa EndometriumOvary Breast Portal system Breast Ovary Endometrium mucosa smear
Postmenopause
Anterior pituitary
Maternal
estrogen
Maternal
estrogen
Infancy
Gonadotropic hormones
Childhood
m
periu
ta
Gr
en
Pr fol
Puer
o
fol win
im lic
ac
Pl
or le
lic g
le Ma
di
tu
al
graa re um g
fia Ruptured
follic n s lute tin
Corpu ra
Estrogen le follicle ne us
M
e
g rp m
Pub
en
lu
ru
progesterone
erty
at
io
ne
n
ro
Pr n
io
te
oli at
es
n
fer ru
st day
ge
og
ati n
tro
ve Me 8th
pr
ph
es
2
d
as
oo
e hase
d
tory p
oo
Bl
Secre cy
Bl
14th n an
day eg
Pr
ne
tero
ro ges
odp
Blo
Blood estrogen
Adult cycle
Pituitary hormones Ovarian and chorionic hormones
Follicle-stimulating
Estrogen
hormone (FSH)
FIGURE 1.8 In humans, chemical exposures can take place over an entire lifetime, and early xenobiotic exposures have the potential to affect
reproductive events occurring later in life. This figure clearly and comprehensively summarizes all of the anatomical and physiological reproductive
changes that can take place in women’s lives between infancy and menopause, including those associated with puberty and the various stages of the
menstrual cycle, as well as periods of pregnancy and lactation. The transition between the various aspects of a woman’s reproductive activity involves
alterations in anterior pituitary hormone secretion and structural and functional modifications in the ovaries, endometrium, vaginal epithelium, and
mammary glands. Adapted from Netter, F.H., 1997. The Netter Collection of Medical Illustrations, vol. 2. Reproductive System. Saunders Elsevier,
Philadelphia.
proliferative and secretory phases), which are defined based estrogens produced by the corpus luteum observed. Dur-
on the physiological state of the uterine endometrium, ing the late secretory phase of the endometrium, the
rather than on the predominant ovarian structures (i.e., absence of a conceptus in the uterus results in the
estrous cycles) (Genuth, 2004b; Netter, 1997; Senger, regression of the corpus luteum (i.e., luteolysis), a pre-
2007). cipitous decrease in the secretion of progesterone and
estrogens, the local production and subsequent release of
leukotrienes and prostaglandins within the endometrium,
The estrous cycle
and the subsequent cascade of vascular events that result
The follicular and luteal phases of the estrous cycle in the sloughing of the endometrium accompanied by
describe the predominant ovarian structures and the corre- bleeding, which are characteristic of menses (Fig. 1.8)
sponding gonadal steroid concentrations that result from (Genuth, 2004b; Netter, 1997).
the follicular secretion of estrogens or the luteal secretion of
progesterone, respectively (Evans, 2007; Senger, 2007). Follicular development
Both the follicular and luteal phases can generally be
further subdivided into two stages each, proestrus and The general sequence of endocrine and morphologic
changes occurring during the estrous and menstrual cycles
estrus (sexual receptivity) for the follicular phase and
involves a variety of positive and negative feedback loops
metestrus and diestrus (sexual nonreceptivity) for the luteal
affecting the hypothalamicepituitaryegonadal axis and
phase. Proestrus represents the period of transition from the
leads to the development of antral follicles, the primary
diestrous dominance of progesterone to the dominance of
source of estrogens, and, eventually, the formation of
estrogens during estrus, whereas metestrus represents the
corpora lutea, which produce progesterone (Figs. 1.3 and
opposite shift in the endocrine milieu (estrogen dominance
1.8). When females are exhibiting reproductive cyclicity,
to progesterone dominance).
there are cyclic alterations in the pattern of hypothalamic
GnRH secretion from the tonic and surge centers, which
The menstrual cycle interact with the anterior pituitary to influence the relative
The reader is directed to Fig. 1.8 to best understand the amounts of FSH and LH secreted by anterior pituitary
sequence of the morphological and endocrine events that gonadotropes. Over the course of sequential ovulatory cy-
take place during the menstrual cycle in women, which is cles, many (up to several hundred or more, depending on
generally 28 days in duration. As mentioned earlier, the the species) primordial follicles leave the reserve pool in a
menstrual cycle is defined in terms of phases corre- cyclic fashion (under the influence of FSH) and enter the
sponding to events occurring within the endometrium, active pool of follicles (primary follicles) undergoing
rather than within the ovary; however, an effort will be growth and differentiation (folliculogenesis) and eventually
made here to discuss also ovarian events taking place at atresia or ovulation (Evans et al., 1997; Senger, 2007). The
the same time as the endometrial changes so one can oocyte in the developing follicle grows in size, the zona
understand the correlations between the estrous and pellucida is formed, and the granulosa cells surrounding the
menstrual cycles. At the beginning of menses, follicles oocyte undergo mitosis and further differentiation. As
develop under the influence of FSH (i.e., follicular phase shown in Fig. 1.8, a primary follicle is transformed into a
begins), with minimal LH secretion, thereby reflecting secondary follicle when there are several layers of gran-
anterior pituitary sensitivity to GnRH (Genuth, 2004b). As ulosa cells. Preantral follicles (primary and secondary fol-
tertiary follicles develop, more estrogens are produced, licles) become antral (tertiary) follicles, when fluid from the
and the endometrium enters the proliferative stage. Es- granulosa cells of secondary follicles coalesces to form an
trogens provide negative feedback for FSH secretion and antrum (Evans, 2007).
positive feedback for LH release by the anterior pituitary. Cyclic increases in FSH concentrations facilitate recruit-
The increasing amount of LH and decreasing FSH results ment of antral follicles. Granulosa cells can produce activin,
in ovulation about midway through the cycle (i.e., day 14), which is thought to provide positive feedback to the anterior
and the follicle begins to undergo luteinization and forms pituitary, further increasing gonadotropic FSH secretion
corpus luteum, which produces progesterone, as well as (Evans, 2007; Senger, 2007). Recruited antral follicles,
estrogen (i.e., luteal phase begins) (Genuth, 2004b). The which are gonadotropin sensitive, undergo several waves of
secretory phase of the endometrium begins as the corpus follicular development beginning in metestrus and ending in
luteum forms and secretes progesterone and estrogens. In proestrus. In subprimates, the final wave of one or more
response to feedback loops involving this secreted pro- dominant follicles, destined for ovulation, rather than atresia,
gesterone and estrogens, the relative proportions of FSH produces the large amounts of estrogens typical of estrus and
and LH secreted by the anterior pituitary change, with required for sexual receptivity and the preovulatory estrous
subtle decreases in the amounts of progesterone and surges in GnRH and LH secretion in subprimates.
22 SECTION | I General
Ovarian follicular synthesis of estrogens Toxicants that interfere with copulation or sexual contact in
The production of estrogens (predominantly estradiol) by these species can interfere with the ovulatory process
antral follicles is accomplished by a mechanism termed the (Evans, 2007).
“two-cell or two-gonadotropin model,” which can vary
somewhat between species (Evans, 2007; Senger, 2007). Formation and function of a corpus luteum
Cells from the theca interna and/or granulosa cells Following ovulation, a cascade of endocrine changes takes
(depending on the species) produce progesterone from place in the female subprimate, which facilitates the tran-
pregnenolone synthesized from cholesterol and, under the sition from sexual receptivity to nonreceptivity. Once
influence of relatively low concentrations of LH, theca ovulation occurs, blood concentrations of follicular estra-
interna cells convert this progesterone into androgens and, diol and inhibin return to their basal levels, and granulosa
ultimately, testosterone. In granulosa cells (reportedly theca cells continue their growth, differentiation, and increased
interna cells in some species), the release of FSH from the production and release of progesterone (luteinization) under
anterior pituitary induces aromatase-mediated conversion the influence of LH (Evans et al., 1997; Senger, 2007). The
of testosterone produced in the theca cells into estradiol. functional ovarian structure that eventually develops from
Stimulation of aromatase activity by xenobiotics can have each ovulated follicle is a corpus luteum (often abbreviated
an overall estrogenic effect on exposed animals (increased CL), which comprises large and small luteal cells derived
production of estradiol). from the granulosa and theca interna cells (granulosa cells
in horses), respectively. In most species, luteal cells are
The effects of estrogenic feedback on the responsive to LH and produce progesterone until, shortly
hypothalamicepituitaryegonadal axis before the usual end of diestrus in nonpregnant animals
Increasing concentrations of estrogens associated with (i.e., late secretory phase in higher primates), the corpus
estrus alter the hypothalamic GnRH secretory pattern or act luteum undergoes luteolysis. Although the induction of
on the anterior pituitary itself (Figs. 1.3 and 1.8) and luteolysis is an intraovarian event in higher primates, luteal
decrease pituitary secretion of FSH, while greatly regression in nonpregnant subprimates is mediated by
increasing the amount of LH produced and released by the oxytocin-stimulated production of the luteolysin, prosta-
anterior pituitary gland (preovulatory LH surge). Although glandins F2a (PGF2a). Xenobiotics, which can cause
inhibin produced by granulosa cells further decreases FSH endometritis or mimic the actions of oxytocin or PGF2a,
secretion, dominant follicles surviving to estrus do not such as endotoxin or lipopolysaccharide, can be associated
undergo atresia because of an enhanced sensitivity to basal with premature luteolysis. Conversely, toxicants with
(FSH) levels. Xenoestrogens have the potential to either the opposite oxytocin/PGF2a,-related effects would be
imitate or inhibit these estradiol feedback mechanisms in expected to disrupt normal reproductive cyclicity by
sexually mature females, depending on the amount of es- prolonging the lifespan of the corpus luteum and causing a
trogenic xenobiotic, the endocrine milieu at the time of the prolonged diestrus or pseudopregnancy (e.g., xenoestr-
exposure, and the relative binding affinity of the xenobiotic ogens in swine) (Evans, 2007).
for estrogen receptors. Species of animals can vary in the number of fertile
ovulations and, therefore, corpora lutea, which are charac-
Ovulation teristically associated with each estrous cycle. Monotocous
mammalian species usually only ovulate a single secondary
The granulosa cells in the one or more dominant follicles
oocyte each estrous cycle. The ovaries of litter-bearing
(graafian follicles) cease to divide shortly prior to ovulation
(polytocous) mammals generally develop multiple folli-
and undergo further differentiation, with increased numbers
cles that mature, ovulate, and form functional corpora lutea.
(i.e., upregulation) of LH receptors responsive to the
estrogen-induced preovulatory LH surge (Evans et al.,
Summary of the effects of estrogens and
1997; Senger, 2007). As LH increases, granulosa cells
progesterone during the female reproductive cycle
(theca interna cells in some species) continue to convert
pregnenolone to progesterone, but estradiol production The endocrine changes that occur during the estrous cycle
decreases, resulting in a slight preovulatory decline in are reflected in behavior and the size, morphology, posi-
estradiol. The preovulatory LH surge is associated with tion, and function of the tubular genitalia. As noted in
increased follicular pressure, degeneration of theca cells Figs. 1.3 and 1.8, estrogens have multiple effects on the
and weakening of the follicular wall, completion of the first female reproductive tract, as well as organ systems, which
meiotic division within the oocyte (end of meiotic inhibi- include: (1) interactions with the hypothalamus and anterior
tion except in dogs and foxes) and, finally, ovulation of a pituitary to alter the patterns of GnRH and gonadotropin
secondary oocyte arrested in metaphase II. In felids, ferrets, secretion, which govern follicular development and
mink, camelids, and rabbits, the preovulatory LH surge is ovulation; (2) facilitation of sexual receptivity, especially in
induced by copulation (intromission or vaginal stimulation subprimates; (3) increased blood flow to the reproductive
in most induced ovulators; seminal fluid in camelids). tract; (4) genital swelling; (5) leukocytosis; (6) mucosal
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Vous figurez-vous bien à ce mot le mouvement par lequel nos
deux têtes se tournèrent vers notre pêcheur! C’était un homme
simple; il comprit notre muette interrogation, et voici ce qu’il nous dit
dans son langage, auquel je tâche de conserver son allure
populaire.
—Madame, ceux du Croisic comme ceux de Batz croient que cet
homme est coupable de quelque chose, et fait une pénitence
ordonnée par un fameux recteur auquel il est allé se confesser plus
loin que Nantes. D’autres croient que Cambremer, c’est son nom, a
une mauvaise chance qu’il communique à qui passe sous son air.
Aussi plusieurs, avant de tourner sa roche, regardent-ils d’où vient le
vent! S’il est de galerne, dit-il en nous montrant l’ouest, ils ne
continueraient pas leur chemin quand il s’agirait d’aller quérir un
morceau de la vraie croix; ils retournent, ils ont peur. D’autres, les
riches du Croisic, disent que Cambremer a fait un vœu, d’où son
nom d’Homme-au-vœu. Il est là nuit et jour, sans en sortir. Ces dires
ont une apparence de raison. Voyez-vous, dit-il en se retournant
pour nous montrer une chose que nous n’avions pas remarquée, il a
planté là, à gauche, une croix de bois pour annoncer qu’il s’est mis
sous la protection de Dieu, de la sainte Vierge et des saints. Il ne se
serait pas sacré comme ça, que la frayeur qu’il donne au monde, fait
qu’il est là en sûreté comme s’il était gardé par de la troupe. Il n’a
pas dit un mot depuis qu’il s’est enfermé en plein air; il se nourrit de
pain et d’eau que lui apporte tous les matins la fille de son frère, une
petite tronquette de douze ans à laquelle il a laissé ses biens, et
qu’est une jolie créature, douce comme un agneau, une bien
mignonne fille, bien plaisante. Elle vous a, dit-il en montrant son
pouce, des yeux bleus longs comme ça, sous une chevelure de
chérubin. Quand on lui demande: Dis donc, Pérotte?... (Ça veut dire
chez nous Pierrette, fit-il en s’interrompant; elle est vouée à saint
Pierre, Cambremer s’appelle Pierre, il a été son parrain.)—Dis donc,
Pérotte, reprit-il, qué qui te dit ton oncle?—Il ne me dit rin, qu’elle
répond, rin du tout, rin.—Eh! ben, que qu’il te fait?—Il m’embrasse
au front le dimanche.—Tu n’en as pas peur?—Ah! ben, qu’a dit, il
est mon parrain. Il n’a pas voulu d’autre personne pour lui apporter à
manger. Pérotte prétend qu’il sourit quand elle vient, mais autant dire
un rayon de soleil dans la brouine, car on dit qu’il est nuageux
comme un brouillard.
—Mais, lui dis-je, vous excitez notre curiosité sans la satisfaire.
Savez-vous ce qui l’a conduit là? Est-ce le chagrin, est-ce le repentir,
est-ce une manie, est-ce un crime, est-ce...
—Eh! monsieur, il n’y a guère que mon père et moi qui sachions
la vérité de la chose. Défunt ma mère servait un homme de justice à
qui Cambremer a tout dit par ordre du prêtre qui ne lui a donné
l’absolution qu’à cette condition-là, à entendre les gens du port. Ma
pauvre mère a entendu Cambremer sans le vouloir, parce que la
cuisine du justicier était à côté de sa salle, elle a écouté! Elle est
morte; le juge qu’a écouté est défunt aussi. Ma mère nous a fait
promettre, à mon père et à moi, de n’en rin afférer aux gens du pays,
mais je puis vous dire à vous que le soir où ma mère nous a raconté
ça, les cheveux me grésillaient dans la tête.
—Hé! bien, dis-nous ça, mon garçon, nous n’en parlerons à
personne.
Le pêcheur nous regarda, et continua ainsi: Pierre Cambremer,
que vous avez vu là, est l’aîné des Cambremer, qui de père en fils
sont marins; leur nom le dit, la mer a toujours plié sous eux. Celui
que vous avez vu s’était fait pêcheur à bateaux. Il avait donc des
barques, allait pêcher la sardine, il pêchait aussi le haut poisson,
pour les marchands. Il aurait armé un bâtiment et pêché la morue,
s’il n’avait pas tant aimé sa femme, qui était une belle femme, une
Brouin de Guérande, une fille superbe, et qui avait bon cœur. Elle
aimait tant Cambremer, qu’elle n’a jamais voulu que son homme la
quittât plus du temps nécessaire à la pêche aux sardines. Ils
demeuraient là-bas, tenez! dit le pêcheur en montant sur une
éminence pour nous montrer un îlot dans la petite méditerranée qui
se trouve entre les dunes où nous marchions et les marais salants
de Guérande, voyez-vous cette maison? Elle était à lui. Jacquette
Brouin et Cambremer n’ont eu qu’un enfant, un garçon qu’ils ont
aimé... comme quoi dirai-je? dam! comme on aime un enfant unique;
ils en étaient fous. Leur petit Jacques aurait fait, sous votre respect,
dans la marmite qu’ils auraient trouvé que c’était du sucre. Combien
donc que nous les avons vus de fois, à la foire, achetant les plus
belles berloques pour lui! C’était de la déraison, tout le monde le leur
disait. Le petit Cambremer, voyant que tout lui était permis, est
devenu méchant comme un âne rouge. Quand on venait dire au
père Cambremer:—«Votre fils a manqué tuer le petit un tel!» il riait et
disait:—«Bah! ce sera un fier marin! il commandera les flottes du
roi.» Un autre:—«Pierre Cambremer, savez-vous que votre gars a
crevé l’œil de la petite Pougaud!—Il aimera les filles,» disait Pierre. Il
trouvait tout bon. Alors mon petit mâlin, à dix ans, battait tout le
monde et s’amusait à couper le cou aux poules, il éventrait les
cochons, enfin il se roulait dans le sang comme une fouine.—«Ce
sera un fameux soldat! disait Cambremer, il a goût au sang.» Voyez-
vous, moi, je me suis souvenu de tout ça, dit le pêcheur. Et
Cambremer aussi, ajouta-t-il après une pause. A quinze ou seize
ans, Jacques Cambremer était... quoi? un requin. Il allait s’amuser à
Guérande, ou faire le joli cœur à Savenay. Fallait des espèces. Alors
il se mit à voler sa mère, qui n’osait en rien dire à son mari.
Cambremer était un homme probe à faire vingt lieues pour rendre à
quelqu’un deux sous qu’on lui aurait donnés de trop dans un
compte. Enfin, un jour, la mère fut dépouillée de tout. Pendant une
pêche de son père, le fils emporta le buffet, la mette, les draps, le
linge, ne laissa que les quatre murs, il avait tout vendu pour aller
faire ses frigousses à Nantes. La pauvre femme en a pleuré pendant
des jours et des nuits. Fallait dire ça au père à son retour, elle
craignait le père, pas pour elle, allez! Quand Pierre Cambremer
revint, qu’il vit sa maison garnie des meubles que l’on avait prêtés à
sa femme, il dit: Qu’est-ce que c’est que ça? La pauvre femme était
plus morte que vive, elle dit:—Nous avons été volés.—Où donc est
Jacques?—Jacques, il est en riolle! Personne ne savait où le drôle
était allé.—Il s’amuse trop! dit Pierre. Six mois après, le pauvre père
sut que son fils allait être pris par la justice à Nantes. Il fait la route à
pied, y va plus vite que par mer, met la main sur son fils, et l’amène
ici. Il ne lui demanda pas:—Qu’as-tu fait? Il lui dit: Si tu ne te tiens
pas sage deux ans ici avec ta mère et avec moi, allant à la pêche et
te conduisant comme un honnête homme, tu auras affaire à moi.
L’enragé, comptant sur la bêtise de ses père et mère, lui a fait la
grimace. Pierre, là-dessus, lui flanque une mornifle qui vous a mis
Jacques au lit pour six mois. La pauvre mère se mourait de chagrin.
Un soir, elle dormait paisiblement à côté de son mari, elle entend du
bruit, se lève, elle reçoit un coup de couteau dans le bras. Elle crie,
on cherche de la lumière. Pierre Cambremer voit sa femme blessée;
il croit que c’est un voleur, comme s’il y en avait dans notre pays, où
l’on peut porter sans crainte dix mille francs en or, du Croisic à Saint-
Nazaire, sans avoir à s’entendre demander ce qu’on a sous le bras.
Pierre cherche Jacques, il ne trouve point son fils. Le matin ce
monstre-là n’a-t-il pas eu le front de revenir en disant qu’il était allé à
Batz. Faut vous dire que sa mère ne savait où cacher son argent.
Cambremer, lui, mettait le sien chez monsieur Dupotet du Croisic.
Les folies de leur fils leur avaient mangé des cent écus, des cent
francs, des louis d’or, ils étaient quasiment ruinés, et c’était dur pour
des gens qui avaient aux environs de douze mille livres, compris leur
îlot. Personne ne sait ce que Cambremer a donné à Nantes pour
ravoir son fils. Le guignon ravageait la famille. Il était arrivé des
malheurs au frère de Cambremer, qui avait besoin de secours.
Pierre lui disait pour le consoler que Jacques et Pérotte (la fille au
cadet Cambremer) se marieraient. Puis, pour lui faire gagner son
pain, il l’employait à la pêche; car Joseph Cambremer en était réduit
à vivre de son travail. Sa femme avait péri de la fièvre, il fallait payer
les mois de nourrice de Pérotte. La femme de Pierre Cambremer
devait une somme de cent francs à diverses personnes pour cette
petite, du linge, des hardes, et deux ou trois mois à la grande Frelu
qu’avait un enfant de Simon Gaudry et qui nourrissait Pérotte. La
Cambremer avait cousu une pièce d’Espagne dans la laine de son
matelas, en mettant dessus: A Pérotte. Elle avait reçu beaucoup
d’éducation, elle écrivait comme un greffier, et avait appris à lire à
son fils, c’est ce qui l’a perdu. Personne n’a su comment ça s’est fait,
mais ce gredin de Jacques avait flairé l’or, l’avait pris et était allé
riboter au Croisic. Le bonhomme Cambremer, par un fait exprès,
revenait avec sa barque chez lui. En abordant il voit flotter un bout
de papier, le prend, l’apporte à sa femme qui tombe à la renverse en
reconnaissant ses propres paroles écrites. Cambremer ne dit rien,
va au Croisic, apprend là que son fils est au billard; pour lors, il fait
demander la bonne femme qui tient le café, et lui dit:—J’avais dit à
Jacques de ne pas se servir d’une pièce d’or avec quoi il vous
paiera; rendez-la-moi, j’attendrai sur la porte, et vous donnerai de
l’argent blanc pour. La bonne femme lui apporta la pièce.
Cambremer la prend en disant:—Bon! et revient chez lui. Toute la
ville a su cela. Mais voilà ce que je sais et ce dont les autres ne font
que de se douter en gros. Il dit à sa femme d’approprier leur
chambre, qu’est par bas; il fait du feu dans la cheminée, allume deux
chandelles, place deux chaises d’un côté de l’âtre, et met de l’autre
côté un escabeau. Puis dit à sa femme de lui apprêter ses habits de
noces, en lui commandant de pouiller les siens. Il s’habille. Quand il
est vêtu, il va chercher son frère, et lui dit de faire le guet devant la
maison pour l’avertir s’il entendait du bruit sur les deux grèves, celle-
ci et celle des marais de Guérande. Il rentre quand il juge que sa
femme est habillée, il charge un fusil et le cache dans le coin de la
cheminée. Voilà Jacques qui revient; il revient tard; il avait bu et joué
jusqu’à dix heures; il s’était fait passer à la pointe de Carnouf. Son
oncle l’entend héler, va le chercher sur la grève des marais, et le
passe sans rien dire. Quand il entre, son père lui dit:—Assieds-toi là,
en lui montrant l’escabeau. Tu es, dit-il, devant ton père et ta mère
que tu as offensés, et qui ont à te juger. Jacques se mit à beugler,
parce que la figure de Cambremer était tortillée d’une singulière
manière. La mère était roide comme une rame.—Si tu cries, si tu
bouges, si tu ne te tiens pas comme un mât sur ton escabeau, dit
Pierre en l’ajustant avec son fusil, je te tue comme un chien. Le fils
devint muet comme un poisson; la mère n’a rin dit.—Voilà, dit Pierre
à son fils, un papier qui enveloppait une pièce d’or espagnole; la
pièce d’or était dans le lit de ta mère; ta mère seule savait l’endroit
où elle l’avait mise; j’ai trouvé le papier sur l’eau en abordant ici; tu
viens de donner ce soir cette pièce d’or espagnole à la mère
Fleurant, et ta mère n’a plus vu sa pièce dans son lit. Explique-toi.
Jacques dit qu’il n’avait pas pris la pièce de sa mère, et que cette
pièce lui était restée de Nantes.—Tant mieux, dit Pierre. Comment
peux-tu nous prouver cela?—Je l’avais.—Tu n’as pas pris celle de ta
mère?—Non.—Peux-tu le jurer sur ta vie éternelle? Il allait le jurer;
sa mère leva les yeux sur lui et lui dit:—Jacques, mon enfant, prends
garde, ne jure pas si ça n’est pas vrai; tu peux t’amender, te repentir;
il est temps encore. Et elle pleura.—Vous êtes une ci et une ça, lui
dit-il, qu’avez toujours voulu ma perte. Cambremer pâlit et dit:—Ce
que tu viens de dire à ta mère grossira ton compte. Allons au fait.
Jures-tu?—Oui.—Tiens, dit-il, y avait-il sur ta pièce cette croix que le
marchand de sardines qui me l’a donnée avait faite sur la nôtre?
Jacques se dégrisa et pleura.—Assez causé, dit Pierre. Je ne te
parle pas de ce que tu as fait avant cela, je ne veux pas qu’un
Cambremer soit fait mourir sur la place du Croisic. Fais tes prières,
et dépêchons-nous! Il va venir un prêtre pour te confesser. La mère
était sortie, pour ne pas entendre condamner son fils. Quand elle fut
dehors, Cambremer l’oncle vint avec le recteur de Piriac, auquel
Jacques ne voulut rien dire. Il était malin, il connaissait assez son
père pour savoir qu’il ne le tuerait pas sans confession.—Merci,
excusez-nous, monsieur, dit Cambremer au prêtre, quand il vit
l’obstination de Jacques. Je voulais donner une leçon à mon fils et
vous prier de n’en rien dire.—Toi, dit-il à Jacques, si tu ne t’amendes
pas, la première fois ce sera pour de bon, et j’en finirai sans
confession. Il l’envoya se coucher. L’enfant crut cela et s’imagina
qu’il pourrait se remettre avec son père. Il dormit. Le père veilla.
Quand il vit son fils au fin fond de son sommeil, il lui couvrit la
bouche avec du chanvre, la lui banda avec un chiffon de voile bien
serré; puis il lui lia les mains et les pieds. Il rageait, il pleurait du
sang, disait Cambremer au justicier. Que voulez-vous! La mère se
jeta aux pieds du père.—Il est jugé, qu’il dit, tu vas m’aider à le
mettre dans la barque. Elle s’y refusa. Cambremer l’y mit tout seul,
l’y assujettit au fond, lui mit une pierre au cou, sortit du bassin,
gagna la mer, et vint à la hauteur de la roche où il est. Pour lors, la
pauvre mère, qui s’était fait passer ici par son beau-frère, eut beau
crier grâce! ça servit comme une pierre à un loup. Il y avait de la
lune, elle a vu le père jetant à la mer son fils qui lui tenait encore aux
entrailles, et comme il n’y avait pas d’air, elle a entendu blouf! puis
rin, ni trace, ni bouillon; la mer est d’une fameuse garde, allez! En
abordant là pour faire taire sa femme qui gémissait, Cambremer la
trouva quasi morte, il fut impossible aux deux frères de la porter, il a
fallu la mettre dans la barque qui venait de servir au fils, et ils l’ont
ramenée chez elle en faisant le tour par la passe du Croisic. Ah!
ben, la belle Brouin, comme on l’appelait, n’a pas duré huit jours; elle
est morte en demandant à son mari de brûler la damnée barque. Oh!
il l’a fait. Lui il est devenu tout chose, il savait plus ce qu’il voulait; il
fringalait en marchant comme un homme qui ne peut pas porter le
vin. Puis il a fait un voyage de dix jours, et est revenu se mettre où
vous l’avez vu, et, depuis qu’il y est, il n’a pas dit une parole.
Le pêcheur ne mit qu’un moment à nous raconter cette histoire et
nous la dit plus simplement encore que je ne l’écris. Les gens du
peuple font peu de réflexions en contant, ils accusent le fait qui les a
frappés, et le traduisent comme ils le sentent. Ce récit fut aussi
aigrement incisif que l’est un coup de hache.
—Je n’irai pas à Batz, dit Pauline en arrivant au contour
supérieur du lac. Nous revînmes au Croisic par les marais salants,
dans le dédale desquels nous conduisit le pêcheur, devenu comme
nous silencieux. La disposition de nos âmes était changée. Nous
étions tous deux plongés en de funestes réflexions, attristés par ce
drame qui expliquait le rapide pressentiment que nous en avions eu
à l’aspect de Cambremer. Nous avions l’un et l’autre assez de
connaissance du monde pour deviner de cette triple vie tout ce que
nous en avait tu notre guide. Les malheurs de ces trois êtres se
reproduisaient devant nous comme si nous les avions vus dans les
tableaux d’un drame que ce père couronnait en expiant son crime
nécessaire. Nous n’osions regarder la roche où était l’homme fatal
qui faisait peur à toute une contrée. Quelques nuages embrumaient
le ciel; des vapeurs s’élevaient à l’horizon, nous marchions au milieu
de la nature la plus âcrement sombre que j’aie jamais rencontrée.
Nous foulions une nature qui semblait souffrante, maladive; des
marais salants, qu’on peut à bon droit nommer les écrouelles de la
terre. Là, le sol est divisé en carrés inégaux de forme, tous
encaissés par d’énormes talus de terre grise, tous pleins d’une eau
saumâtre, à la surface de laquelle arrive le sel. Ces ravins faits à
main d’hommes sont intérieurement partagés en plates-bandes, le
long desquelles marchent des ouvriers armés de longs râteaux, à
l’aide desquels ils écrèment cette saumure, et amènent sur des
plates-formes rondes pratiquées de distance en distance ce sel
quand il est bon à mettre en mulons. Nous côtoyâmes pendant deux
heures ce triste damier, où le sel étouffe par son abondance la
végétation, et où nous n’apercevions de loin en loin que quelques
paludiers, nom donné à ceux qui cultivent le sel. Ces hommes, ou
plutôt ce clan de Bretons porte un costume spécial, une jaquette
blanche assez semblable à celle des brasseurs. Ils se marient entre
eux. Il n’y a pas d’exemple qu’une fille de cette tribu ait épousé un
autre homme qu’un paludier. L’horrible aspect de ces marécages,
dont la boue était symétriquement ratissée, et de cette terre grise
dont a horreur la Flore bretonne, s’harmoniait avec le deuil de notre
âme. Quand nous arrivâmes à l’endroit où l’on passe le bras de mer
formé par l’irruption des eaux dans ce fond, et qui sert sans doute à
alimenter les marais salants, nous aperçûmes avec plaisir les
maigres végétations qui garnissent les sables de la plage. Dans la
traversée, nous aperçûmes au milieu du lac l’île où demeurent les
Cambremer; nous détournâmes la tête.
En arrivant à notre hôtel, nous remarquâmes un billard dans une
salle basse, et quand nous apprîmes que c’était le seul billard public
qu’il y eût au Croisic, nous fîmes nos apprêts de départ pendant la
nuit; le lendemain nous étions à Guérande. Pauline était encore
triste, et moi je ressentais déjà les approches de cette flamme qui
me brûle le cerveau. J’étais si cruellement tourmenté par les visions
que j’avais de ces trois existences, qu’elle me dit:—Louis, écris cela,
tu donneras le change à la nature de cette fièvre.
Je vous ai donc écrit cette aventure, mon cher oncle; mais elle
m’a déjà fait perdre le calme que je devais à mes bains et à notre
séjour ici.
L’IDÉE ET LE FAIT.